Individual
DR. MICHAEL R LINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 PLEASANT STREET, BLANK CHILDREN'S HOSPITAL, DES MOINES, IA 50309-1453
(515) 241-5926
(515) 241-5127
Mailing address
1200 PLEASANT STREET, BLANK CHILDREN'S HOSPITAL, DES MOINES, IA 50309-1453
(515) 241-5926
(515) 241-5127
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38276
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
42848
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881779684
—
IA
05
—
88803813
—
CO
Enumeration date
10/27/2006
Last updated
06/24/2009
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