Individual
JEREMY LANG LINSENMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, DEPT OF PM&R BOX 356490, SEATTLE, WA 98195-6490
(206) 685-0963
Mailing address
1912 CLEVELAND ST, EVANSTON, IL 60202-1910
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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