Most Relevant Information
Provider Data
| NPI Number: | 1003362252 |
| Provider Name: | MARK KLINE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704285370 |
Most Important Dates
| Enumeration Date: | 08/28/2016 |
| Last Updated: | 03/02/2017 |
Provider Practice Location
22170 W NINE MILE RD
SOUTHFIELD
MI
48033
Practice Location Phone/Fax
| Phone: | 2483726800 |
| Fax: |
Provider Mailing Location
2399 E. WALTON BLVD
AUBURN HILLS
MI
48326
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |