Individual
MARK ALLEN KLEINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-4200
Mailing address
12409 NW 48TH CT, VANCOUVER, WA 98685-3317
(360) 574-0097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WA MD 00025875
WA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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