Provider Demographics
NPI:1235153511
Name:KLEIN, MICHAEL ROBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:KLEIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6555 COYLE AVE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0370
Mailing Address - Country:US
Mailing Address - Phone:916-863-7301
Mailing Address - Fax:916-863-7206
Practice Address - Street 1:6555 COYLE AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0302
Practice Address - Country:US
Practice Address - Phone:916-863-7301
Practice Address - Fax:916-863-7206
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC31935207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery