Provider Demographics
NPI:1235259888
Name:KLEMME, WILLIAM ROLAND (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROLAND
Last Name:KLEMME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:336 BON AIR SHOPPING CTR
Mailing Address - Street 2:#388
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-3017
Mailing Address - Country:US
Mailing Address - Phone:415-461-1650
Mailing Address - Fax:415-461-1650
Practice Address - Street 1:336 BON AIR SHOPPING CTR
Practice Address - Street 2:#388
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-3017
Practice Address - Country:US
Practice Address - Phone:415-461-1650
Practice Address - Fax:415-461-1650
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58946207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE2303OtherRAILROAD MEDICARE PART B
DE2303OtherRAILROAD MEDICARE PART B
F71720Medicare UPIN