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Individual
DR. ALBERT TIMOTHY LINEHAN IV
Active
Individual
DR. ALBERT TIMOTHY LINEHAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301052216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030004444
RAILROAD MEDICARE
MI
01
—
0302464921
BLUE SHIELD PIN
MI
05
—
4091246-10
—
MI
Enumeration date
09/26/2006
Last updated
07/13/2011
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