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Dr. Jennifer Marlette Klos, DO
Student in an Organized Health Care Education/Training Program in Shoreview, Minnesota
NPI 1508095183

Jennifer Marlette Klos is a Student in an Organized Health Care Education/Training Program based in Minneapolis, MN. Jennifer Marlette Klos practices in Shoreview, MN and has the professional credentials of DO. The NPI Number for Jennifer Marlette Klos is 1508095183 and holds a License No. 56190 (Minnesota).

The current practice location address for Jennifer Marlette Klos is 4194 Lexington Ave N, Shoreview, MN and can be reached out via phone at 651-483-5461.

Location: 4194 Lexington Ave N, Shoreview, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508095183
Provider Name
Jennifer Marlette Klos
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4194 Lexington Ave N, Shoreview, MN, 55407-1321
Phone Number
651-483-5461
Fax Number
Provider Enumeration Date
07/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4194 Lexington Ave N
City
Shoreview
State
Minnesota
Zip
55126-6106
Phone Number
651-483-5461
Fax Number
person
Provider Business Mailing Address Details
Address
4194 Lexington Ave N
City
Shoreview
State
Minnesota
Zip
55126-6106
Phone Number
651-483-5461
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5101018349 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
56190 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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