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Individual

LINDA A CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0930
(586) 753-0931
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0930
(586) 753-0931

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
00145625
MI
163WD0400X
Diabetes Educator Registered Nurse
21120064
MI
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704110633
MI

Other

Enumeration date
05/21/2012
Last updated
05/21/2012
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