Individual
MICHAEL WADE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4741 S COCHISE DRVIE, INDEPENDENCE, MO 64055
(816) 478-1230
(816) 478-4413
Mailing address
4801 S CLIFF AVE, STE 100, INDEPENDENCE, MO 64055-6954
(816) 350-4536
(816) 350-4585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2013020017
MO
Other
Enumeration date
03/19/2013
Last updated
06/03/2020
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