Provider Demographics
NPI:1124228630
Name:KLEMIN, PETER L (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:L
Last Name:KLEMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:414 N. 7TH ST.
Mailing Address - Street 2:MEDCENTER ONE, INC.
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501
Mailing Address - Country:US
Mailing Address - Phone:701-323-5870
Mailing Address - Fax:701-323-5869
Practice Address - Street 1:414 N. 7TH ST.
Practice Address - Street 2:MEDCENTER ONE, INC.
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501
Practice Address - Country:US
Practice Address - Phone:701-323-5870
Practice Address - Fax:701-323-5869
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NDPT 12047207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology