Organization
MARK J KLEIN, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JEFFERY KLEIN DPM (OWNER)
(734) 572-1141
Entity
Organization
Contact information
Practice address
3145 W CLARK RD, SUITE 201, YPSILANTI, MI 48197-1120
(734) 572-1141
(734) 572-1142
Mailing address
3145 W CLARK RD, SUITE 201, YPSILANTI, MI 48197-1120
(734) 572-1141
(734) 572-1142
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
MK001213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3247638
—
MI
Enumeration date
02/28/2007
Last updated
07/18/2012
Update your record
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