Organization
MICHIGAN NEURO OPHTHALMOLOGY & OCULOPLASTICS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J LIN MD (PARTNER)
(586) 582-7860
Entity
Organization
Contact information
Practice address
27450 SCHOENHERR RD, STE 200, WARREN, MI 48088-6683
(586) 582-7859
(586) 582-7858
Mailing address
27450 SCHOENHERR RD, STE 200, WARREN, MI 48088-6683
(586) 582-7860
(586) 582-7861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MI
208200000X
Plastic Surgery Physician
—
MI
2084N0400X
Neurology Physician
—
MI
208600000X
Surgery Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI9517
MEDICARE PTAN
MI
Enumeration date
12/09/2015
Last updated
05/05/2016
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