# MONROE GERIATRIC EVAULATION AND MANAGEMENT SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215117023
- **Authorized official:** OSCAR AUGUSTINE LINARES MD (MEMBER)
- **Authorized official phone:** (734) 799-1641

## Contact information

- **Practice address:** 1030 N MONROE ST, MONROE, MI 48162-3113
- **Practice address phone:** (734) 799-1641
- **Mailing address:** PO BOX 608, MONROE, MI 48161-0608
- **Mailing address phone:** (734) 799-1641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301050330 | MI | — |
| 207R00000X | Internal Medicine Physician | OL045607 | MI | Yes |
| 207RI0011X | Interventional Cardiology Physician | AD054293 | MI | — |
| 207X00000X | Orthopaedic Surgery Physician | JS013467 | MI | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | AR081265 | MI | — |
| 363AM0700X | Medical Physician Assistant | 5601003734 | MI | — |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 05/15/2008