Individual
MICHAEL D. KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 HUGHES DR, STE 620, TOLEDO, OH 43606-3845
(419) 291-2126
(419) 291-6967
Mailing address
2121 HUGHES DR, STE 620, TOLEDO, OH 43606-3845
(419) 291-2126
(419) 291-6967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3508977K
OH
2086S0102X
Surgical Critical Care Physician
4301038107
MI
2086S0120X
Pediatric Surgery Physician
4301038107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521510
ANTHEM
OH
01
—
020H277290
BLUE CROSS BLUE SHIELD MI
—
01
—
04671
PARAMOUNT
OH
01
—
0650960
BCMH
OH
05
—
0650960
—
OH
05
—
1428394
—
MI
01
—
147949
GLHP
—
05
—
301415310
—
MI
05
—
4115642
—
MI
01
—
4295600
AETNA
—
05
—
4614571
—
MI
05
—
5210280
—
MI
01
—
700H262280
BLUE CROSS-BLUE CROSS
—
01
—
7697
HEALTH PLAN OF MI
OH
01
—
MK038107
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
07/27/2005
Last updated
05/01/2012
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