Provider Demographics
NPI:1093931834
Name:KLAUSNER, WARREN EVERETT (DO)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:EVERETT
Last Name:KLAUSNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:129 JEWELL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-1717
Mailing Address - Country:US
Mailing Address - Phone:831-420-1400
Mailing Address - Fax:831-420-1401
Practice Address - Street 1:129 JEWELL ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-1717
Practice Address - Country:US
Practice Address - Phone:831-420-1400
Practice Address - Fax:831-420-1401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6722207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine