Individual
LINDA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1804
(269) 473-2222
Mailing address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1804
(269) 473-2222
(269) 473-6880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704275934
MI
Other
Enumeration date
02/26/2021
Last updated
04/19/2021
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