Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 3508977K | OH |
N | 2086S0102X | Surgical Critical Care | 4301038107 | MI |
N | 2086S0120X | Pediatric Surgery | 4301038107 | MI |
NPI | 1003816539 |
---|---|
Provider Name | Michael D. Klein |
First Address | Toledo, OH 43606-3845 |
Second Address | Toledo, OH 43606-3845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 01/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000521510 | ANTHEM (01) | OH |
020H277290 | BLUE CROSS BLUE SHIELD MI (01) | |
04671 | PARAMOUNT (01) | OH |
0650960 | (05) | OH |
0650960 | BCMH (01) | OH |
1428394 | (05) | MI |
147949 | GLHP (01) | |
301415310 | (05) | MI |
4115642 | (05) | MI |
4295600 | AETNA (01) | |
4614571 | (05) | MI |
5210280 | (05) | MI |
700H262280 | BLUE CROSS-BLUE CROSS (01) | |
7697 | HEALTH PLAN OF MI (01) | OH |
A74201 | (02) | |
MK038107 | CHAMPUS-CHAMPUS (01) | |
MK038107 | COMMERCIAL-COMMERCIAL NUMBER (01) |