Organization
MONROE GERIATRIC EVAULATION AND MANAGEMENT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR AUGUSTINE LINARES MD (MEMBER)
(734) 799-1641
Entity
Organization
Contact information
Practice address
1030 N MONROE ST, MONROE, MI 48162-3113
(734) 799-1641
Mailing address
PO BOX 608, MONROE, MI 48161-0608
(734) 799-1641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301050330
MI
207R00000X
Internal Medicine Physician
Primary
OL045607
MI
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E811600
BCBS GROUP PIN
MI
Enumeration date
11/08/2007
Last updated
05/15/2008
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