Doctor Name: | MR. DAVID A KLOSS |
NPI Number: | 1003842915 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 033503 |
Business Practice Address: | 162 Mansfield Ave. B Willimantic, CT - 06226 |
Business Phone Number: | 8604235000 |
Business Fax Number: | 8604234838 |
Mailing Address: | 415 Jefferson St North, Tri-county Hospital WADENA |
State: | MN |
Postal Code: | 564821296 |
Phone Number: | 2186313510 |
Fax Number: | 2186317507 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 033503 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |