DR. MARY THERESE KLINKER M.D. NPI 1104841295

NPI Information

NPI: 1104841295
Provider Name: DR. MARY THERESE KLINKER, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
811 2ND ST SE
SUITE A
LITTLE FALLS, MN
ZIP 56345
Phone: (320) 631-7000
Get Directions

DR. Mary Therese Klinker, M.D. is a family medicine in Little Falls, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mary Therese Klinker, M.D. NPI is 1104841295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

811 2ND ST SE
SUITE A
LITTLE FALLS, MN
ZIP 56345-559
Phone: (320) 631-7000
Fax: (320) 632-0534

The NPI 1104841295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		37413	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NA9231013065	OTHER		PREFERRED ONE
2	080012234	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	21627	OTHER		AMERICA'S PPO
4	5T131KL	OTHER	MINNESOTA	BCBS OF MINNESOTA
5	A015	OTHER	MINNESOTA	TRICARE
6	HP264B2	OTHER		HEALTH PARTNERS
7	0101031	OTHER		MEDICA
8	080075726	MEDICARE UPIN
9	F85460	MEDICARE UPIN	MINNESOTA
10	102868C736	OTHER	MINNESOTA	UCARE MINNESOTA
11	981819700	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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