Provider Demographics
NPI:1538147871
Name:KLEIN, LINDA M (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7640 SYLVANIA AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9729
Mailing Address - Country:US
Mailing Address - Phone:419-517-1001
Mailing Address - Fax:419-517-1021
Practice Address - Street 1:7640 SYLVANIA AVE
Practice Address - Street 2:SUITE K
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9729
Practice Address - Country:US
Practice Address - Phone:419-517-1001
Practice Address - Fax:419-517-1021
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2019-07-01
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Provider Licenses
StateLicense IDTaxonomies
OH35. 049360207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0586414Medicaid
OHP00195238OtherMEDICARE RAILROAD
OHA15748Medicare UPIN
OHP00195238OtherMEDICARE RAILROAD