Individual
MICHAEL K KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 7TH AVE, BARSTOW, CA 92311-3043
(760) 256-1761
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
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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