Provider Demographics
NPI:1336479351
Name:KLAES, SCOTT ALLEN (CSA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ALLEN
Last Name:KLAES
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
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Mailing Address - Street 1:1420 16TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-0254
Mailing Address - Country:US
Mailing Address - Phone:507-990-2921
Mailing Address - Fax:
Practice Address - Street 1:201 W CENTER ST
Practice Address - Street 2:EI-01 SUGICAL ASSISTANTS
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3003
Practice Address - Country:US
Practice Address - Phone:507-266-2827
Practice Address - Fax:507-266-1978
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical