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NPI Code Detail

MEDICARE: JEFF ALAN KLEINER M.D.

MEDICARE: JEFF ALAN KLEINER M.D.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician48160-020WI

Other Identifiers

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

General Provider Information

NPI Number : 1194712232
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF ALAN KLEINER M.D.
Provider Business Mailing Address
First Line : 3113 SAEMANN AVE
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-1957
Country : US
Telephone Number : 920-458-3791
Fax Number :
Provider Business Practice Location Address
First Line : 3003 W GOOD HOPE RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-2042
Country : US
Telephone Number : 414-352-3100
Fax Number : 414-247-4598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/23/2019

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