MEDICARE: MARC KLEIN DPM

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	213E00000X	Podiatrist	36001710	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480031087	OTHER	OH	RAILROAD MEDICARE

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	:	1699779553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC KLEIN DPM

Provider Business Mailing Address
First Line	:	34 N BREIEL BLVD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45042-3804
Country	:	US
Telephone Number	:	513-423-4231
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 N BREIEL BLVD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45042-3804
Country	:	US
Telephone Number	:	513-423-4231
Fax Number	:

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/22/2016

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Directions to “ MARC KLEIN DPM” Practice Location

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