Individual
DR. MATTHEW LING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5629 STADIUM DR STE B, KALAMAZOO, MI 49009-1952
(269) 544-3270
(269) 544-3288
Mailing address
PO BOX 458, NILES, MI 49120-0458
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301079119
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101103421
BLUE CROSS
MI
01
—
110229198
RAILROAD MEDICARE
MI
01
—
1538397120
GROUP NPI
MI
05
—
1760419246
—
MI
01
—
270381199
TAXID
MI
Enumeration date
06/28/2006
Last updated
11/27/2023
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