Individual
JUDITH C. LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
(313) 916-1249
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301084741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472453710
—
MI
01
—
700H262310
BLUE CROSS-BLUE CROSS
—
01
—
JL084741
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/18/2006
Last updated
02/04/2020
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