Individual
JACK LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6565
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81215
WI
207R00000X
Internal Medicine Physician
R-11707
IA
208D00000X
General Practice Physician
DO-05987
IA
Other
Enumeration date
03/28/2019
Last updated
08/26/2025
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