| Doctor Name: | JACQUELINE RAE KLAPPERICK |
| NPI Number: | 1033377809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSA |
| License Number: | 896 |
| Business Practice Address: | 717 S State St Suite 900 Fairmont, MN - 560314469 |
| Business Phone Number: | 5072384949 |
| Business Fax Number: | 5072383377 |
| Mailing Address: | 24969 Us Highway 218, AUSTIN |
| State: | MN |
| Postal Code: | 559125792 |
| Phone Number: | 5074381020 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 05/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 896 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |