Provider Demographics
NPI:1811017460
Name:WILLIAM R. KLEMME, MD, INC.
Entity Type:Organization
Organization Name:WILLIAM R. KLEMME, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:KLEMME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-461-1650
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ03660ZMedicare ID - Type UnspecifiedGROUP ID