MEDICARE: KLEIN MEDICAL PC

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	207Q00000X	Family Medicine Physician	4301060120	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
2	1730413394	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1730413394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KLEIN MEDICAL PC

Provider Business Mailing Address
First Line	:	1131 N OSSEO RD
Second Line	:	PO BOX 187
City	:	HILLSDALE
State	:	MI
Zip	:	49242-9714
Country	:	US
Telephone Number	:	517-523-3695
Fax Number	:	517-523-3311

Provider Business Practice Location Address
First Line	:	370 E CHICAGO ST
Second Line	:	SUITE 700
City	:	COLDWATER
State	:	MI
Zip	:	49036-2062
Country	:	US
Telephone Number	:	517-279-5099
Fax Number	:	517-279-5097

Authorized Official
Title or Position	:	OWNER
Name	:	KAREN N KLEIN
Credential	:	M.D.
Telephone Number	:	517-279-5099

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	02/12/2015

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Directions to “KLEIN MEDICAL PC ” Practice Location

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