# MICHIGAN HEAD & NECK INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104871250
- **Authorized official:** RICHARD E KLEIN (DDS)
- **Authorized official phone:** (586) 573-0438

## Contact information

- **Practice address:** 3665 E 11 MILE RD, WARREN, MI 48092-4300
- **Practice address phone:** (586) 573-0438
- **Practice address fax:** (586) 573-0186
- **Mailing address:** 3665 E 11 MILE RD, WARREN, MI 48092-4300
- **Mailing address phone:** (586) 573-0438
- **Mailing address fax:** (586) 573-0186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 009174 | MI | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 06/28/2022