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Individual

ANDREW Q LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3677
(414) 649-3780
(414) 649-3794
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT209001
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036152899
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
82383
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A176225
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100243492
WI
Enumeration date
06/24/2015
Last updated
09/07/2023
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