
First Name
Henry Kling
Last Name
Doe
Date of Birth
1962-07-08
Gender
Male
Phone Number
(622) 237-7191
Insurance Provider
Wuckert, Sauer and Wisozk
Patient ID
12526
Emergency Contact
Jane Doe (+1 987 654 3210)
Street Address
123 Main St, Apt 4B
City
Denver
State/Province
Colorado
Zip Code
80202
Country
United States
Emergency Contact Address
456 Elm St, Apt 10C, Denver, CO