Provider Demographics
NPI:1508844234
Name:KLEIN, MARK A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:KLEIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:111E MINNEAPOLIS VETERANS AFFAIRS MEDICAL CENTER
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417
Mailing Address - Country:US
Mailing Address - Phone:612-725-2000
Mailing Address - Fax:612-725-2149
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:111E MINNEAPOLIS VETERANS AFFAIRS MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:612-725-2149
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2008-05-02
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Provider Licenses
StateLicense IDTaxonomies
MN44348207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology