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Individual

MRS. LINDA M OPSAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
800 EAST BLVD, KINGSFORD, MI 49802
(906) 774-4000
(906) 774-0088
Mailing address
800 EAST BLVD, KINGSFORD, MI 49802-4436
(906) 774-4000
(906) 774-0088

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704113267
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1026368
PREFERRED ONE
MI
05
4223499
MI
05
4223505
MI
05
43923100
WI
05
4441667
MI
01
500024567
RR MEDICARE
MI
01
5008764350
BCBS MI
MI
Enumeration date
07/01/2006
Last updated
04/16/2019
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