Provider Demographics
NPI:1891856985
Name:KLEIN, STEVEN N (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:N
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18161 W 13 MILE RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1113
Mailing Address - Country:US
Mailing Address - Phone:248-644-3711
Mailing Address - Fax:248-644-2864
Practice Address - Street 1:18161 W 13 MILE RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1113
Practice Address - Country:US
Practice Address - Phone:248-644-3711
Practice Address - Fax:248-644-2864
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MISK030765208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1347509Medicaid
MI1347509Medicaid
A79780Medicare UPIN