Provider Demographics
NPI:1144907577
Name:KLAUER, GREGORY JOHN
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:JOHN
Last Name:KLAUER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 JFK RD STE 480
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-5258
Mailing Address - Country:US
Mailing Address - Phone:563-582-3663
Mailing Address - Fax:
Practice Address - Street 1:555 JFK RD STE 480
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-5258
Practice Address - Country:US
Practice Address - Phone:563-582-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA155427237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist