Individual
MITCHELL A KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E LAYTON AVE, #130, MILWAUKEE, WI 53235-6053
(414) 747-8856
Mailing address
10936 N PORT WASHINGTON RD, #208, MEQUON, WI 53092-5031
(414) 768-5430
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31602600
—
WI
Enumeration date
01/09/2007
Last updated
07/08/2007
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