Individual
MICHAEL D. LINDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1672
(336) 716-2255
Mailing address
14370 VIA VENEZIA, 1201, SAN DIEGO, CA 92129-1661
(734) 389-5496
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2018-01123
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301057165
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G88743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269035010
—
MI
01
—
700H262270
BLUE CROSS-BLUE CROSS
—
01
—
G88743
MEDICAL BOARD OF CA
CA
01
—
ML057165
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
01/08/2007
Last updated
10/02/2018
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