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NPI Code Detail

MEDICARE: PETER F KLEIN MD

MEDICARE:   PETER F KLEIN  MD
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
1208600000XSurgery Physician35079519OH
2208C00000XColon & Rectal Surgery Physician35079519KOH
3208C00000XColon & Rectal Surgery Physician35079519OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1280001103OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912900036
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER F KLEIN MD
Provider Business Mailing Address
First Line : 5700 MONROE ST UNIT 210
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2737
Country : US
Telephone Number : 419-291-2800
Fax Number : 419-471-5826
Provider Business Practice Location Address
First Line : 5700 MONROE ST UNIT 210
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2737
Country : US
Telephone Number : 419-291-2800
Fax Number : 419-471-5826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 11/03/2023

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Directions to “ PETER F KLEIN MD” Practice Location

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