Provider Demographics
NPI:1699705236
Name:GETZ-KLEIMAN, LINDA L (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:GETZ-KLEIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-365-8906
Practice Address - Street 1:1702 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4940
Practice Address - Country:US
Practice Address - Phone:701-364-3300
Practice Address - Fax:701-364-8906
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5705208000000X
MN32310208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1201180OtherMEDICA #
ND977792000Medicaid
MN1201212OtherMEDICA #
ND16040Medicaid
MN20102OtherNDBS #
MN20103OtherNDBS #
ND142010OtherUCARE #
NDHP19499OtherHEALTHPARTNERS #
ND3T255LAOtherMNBS #
ND3T256LAOtherMNBS #
MN98D07LAOtherMNBS #
MN96D67LAOtherMNBS #
ND676564OtherAMERICA'S PPO/ARAZ #
NDDA9011015534OtherPREFERRED ONE #
NDND100002OtherLHS #
NDP00055616Medicare ID - Type UnspecifiedRR MEDICARE #
NDHP19499OtherHEALTHPARTNERS #
ND676564OtherAMERICA'S PPO/ARAZ #
NDND100002OtherLHS #
ND16040Medicaid