Individual
DR. MICHAEL WALTER KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4200 RUSTY RD, SAINT LOUIS, MO 63128-1973
(314) 894-7951
(314) 894-7977
Mailing address
4200 RUSTY RD, SAINT LOUIS, MO 63128-1973
(314) 894-7951
(314) 894-7977
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-007659
IL
152W00000X
Optometrist
Primary
2012011384
MO
152W00000X
Optometrist
OPT002155
GA
Other
Enumeration date
07/31/2006
Last updated
08/12/2012
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