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Individual

DR. LINDA SUE RISSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
31995 NORTHWESTERN HWY, WEISBERG CANCER TREATMENT CENTER, FARMINGTON HILLS, MI 48334-1625
(248) 538-4701
(248) 538-6545
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
5101010644
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5101010644
MEDICAL LICENSE ID NUMBER
MI
Enumeration date
01/25/2006
Last updated
11/07/2013
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