Individual
MARTHA J LINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
560 W MITCHELL ST, STE 125, PETOSKEY, MI 49770-2275
(231) 487-4950
(231) 487-4951
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4950
(231) 487-4951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
227
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160C976180
BCBSM
MI
Enumeration date
11/16/2006
Last updated
02/17/2011
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