Provider Demographics
NPI:1871664417
Name:KLAINER, PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:KLAINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 ASH POINT DR
Mailing Address - Street 2:
Mailing Address - City:OWLS HEAD
Mailing Address - State:ME
Mailing Address - Zip Code:04854-3603
Mailing Address - Country:US
Mailing Address - Phone:207-594-2913
Mailing Address - Fax:
Practice Address - Street 1:533 ASH POINT DR
Practice Address - Street 2:
Practice Address - City:OWLS HEAD
Practice Address - State:ME
Practice Address - Zip Code:04854-3603
Practice Address - Country:US
Practice Address - Phone:207-594-2913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine