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Individual

MICHAEL K KLEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C37496
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C374960
BLUE SHIELD
CA
05
00C374960
CA
01
P00459547
RR MEDICARE
CA
Enumeration date
05/25/2006
Last updated
06/10/2009
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