Individual
MARCO TAIYANG LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-7317
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-7317
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5151015455APP22
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2022
Last updated
05/09/2022
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