Individual
ERICKA NATASHA OLIVER-LINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22201 MOROSS RD STE 222, DETROIT, MI 48236-2169
(313) 343-3964
Mailing address
1 CHILDRENS PL CB 8116, ST. LOUIS, MO 63110
(314) 454-2527
(314) 747-8880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021013996
MO
208000000X
Pediatrics Physician
2021025587
MO
208000000X
Pediatrics Physician
4301502421
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301502421
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
02/18/2025
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