MEDICARE: DR. JEFFREY T KLEIN D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	5901001154	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386688406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY T KLEIN D.P.M.

Provider Business Mailing Address
First Line	:	6371 ALDEN DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-2002
Country	:	US
Telephone Number	:	248-360-8971
Fax Number	:

Provider Business Practice Location Address
First Line	:	20176 LIVERNOIS AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-1346
Country	:	US
Telephone Number	:	313-934-1155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/12/2016

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