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Individual

DR. SHINE SHONG LIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10121 ANNIE ST, ELK GROVE, CA 95757-4355
(916) 226-1931
Mailing address
10121 ANNIE ST, ELK GROVE, CA 95757-4355
(916) 226-1931

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009001610
MO
208600000X
Surgery Physician
4301034994
MI
208600000X
Surgery Physician
Primary
A36533
CA
208600000X
Surgery Physician
R-3537
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166502001
AR
Enumeration date
11/08/2005
Last updated
07/30/2010
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