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Individual

DANIEL J LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27450 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-6683
(586) 582-7860
(586) 582-7861
Mailing address
27450 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-6683
(586) 582-7860
(586) 582-7861

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301083046
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000371077
BCBS
OH
01
04818
PARAMOUNT HEALTH CARE
OH
01
180E011850
BCBSM GROUP NUMBER
MI
01
2528848
UNITED HEALTH CARE
OH
05
2590067
OH
01
35-0864571
OHIO LICENSE
OH
01
412029328030
CARESOURCE
OH
05
4672341
MI
01
731991
BUCKEYE
OH
01
7519678
AETNA
OH
Enumeration date
10/21/2005
Last updated
11/10/2021
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