Provider Demographics
NPI:1780321026
Name:KLADSTRUP, CHRISTIAN LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:LYNN
Last Name:KLADSTRUP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-4307
Mailing Address - Country:US
Mailing Address - Phone:712-264-3591
Mailing Address - Fax:712-264-3596
Practice Address - Street 1:101 E 10TH ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-4307
Practice Address - Country:US
Practice Address - Phone:712-264-3591
Practice Address - Fax:712-264-3596
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-07004207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine