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General NPI Number Information
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NPI Number | 1194712232
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Entity Type | Individual
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Provider Name | JEFF ALAN KLEINER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 3003 W GOOD HOPE RD
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City | MILWAUKEE
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State | WI
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Zip | 53209-2042
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Country | US
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Telephone | 414-352-3100
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Fax | 414-247-4598
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Provider Business Mailing Address
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Address Line | 3113 SAEMANN AVE
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City | SHEBOYGAN
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State | WI
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Zip | 53081-1957
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Country | US
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Telephone | 920-458-3791
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 48160-020
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License Number State | WI
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