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Contact Information

SUSAN L KLENK, MD
1901 OLD MINNESOTA AVE
MANKATO CLINIC @ DANIELS HEALTH CENTER
SAINT PETER, MN56048
 Phone: 507-934-2325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUSAN L KLENK · (Female)

NPI # 1205814217
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2006
Last updated 07/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 46021
  • MN Medicaid 711192400
  • Other 410849339 56001 C207 CHAMPUS
  • Other P00040739 RR MEDICARE
  • MN Other 1965902 AMERICAS PPO
  • MN Other 098K8KL BCBS
  • MN Other HP39271 HEALTH PARTNERS
  • MN Other 0114694 MEDICA
  • MN Other NA2951035036 PREFERRED ONE
  • MN Other 171841 UCARE
Hospital affiliation(s)
  • MAYO CLINIC HEALTH SYSTEM - MANKATO - (Acute Care)
    1025 MARSH STREET
    MANKATO, MN 56001
  • RIVER'S EDGE HOSPITAL & CLINIC - (Critical Access)
    1900 NORTH SUNRISE DRIVE
    ST PETER, MN 56082
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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