Individual
MRS. LIN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15120 MICHIGAN AVE, SUITE A, DEARBORN, MI 48126-3768
(313) 843-8300
Mailing address
65 EVALINE DR, TROY, MI 48085-4726
(215) 834-5982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704323745
MI
363LF0000X
Family Nurse Practitioner
Primary
4704323745
MI
Other
Enumeration date
09/27/2022
Last updated
03/29/2023
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