Individual
JACK LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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