Individual
MARK KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22170 W NINE MILE RD, SOUTHFIELD, MI 48033
(248) 372-6800
Mailing address
2399 E. WALTON BLVD, AUBURN HILLS, MI 48326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704285370
MI
Other
Enumeration date
08/28/2016
Last updated
03/02/2017
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