Individual
DR. MICHAEL DOUGLAS CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-2915
Mailing address
3500 N BROAD ST # 1A, PHILADELPHIA, PA 19140-4106
(157) 072-4332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD481042
PA
2086S0102X
Surgical Critical Care Physician
MD481042
PA
Other
Enumeration date
06/07/2017
Last updated
09/23/2024
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