Healthcare Provider Details

I. General information

NPI: 1467421222
Provider Name (Legal Business Name): HAROLD STEVEN CLINE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 W GENESEE ST
IRON RIVER MI
49935-1438
US

IV. Provider business mailing address

1400 W ICE LAKE RD
IRON RIVER MI
49935-9526
US

V. Phone/Fax

Practice location:
  • Phone: 906-265-5423
  • Fax:
Mailing address:
  • Phone: 906-265-6121
  • Fax: 906-265-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301054391
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: