Individual
DR. MICHAEL SCOTT KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SAINT ANTHONYS WAY, SUITE 205, ALTON, IL 62002-4569
(618) 462-2222
(618) 463-5004
Mailing address
2 SAINT ANTHONYS WAY, SUITE 205, ALTON, IL 62002-4569
(618) 462-2222
(618) 462-1150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36-117409
IL
207R00000X
Internal Medicine Physician
36-117409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-117409
LICENSE NUMBER
IL
Enumeration date
01/09/2007
Last updated
01/22/2014
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