Individual
DR. LI JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9460 S SAGINAW RD STE D, GRAND BLANC, MI 48439-8207
(810) 733-7741
Mailing address
9460 S SAGINAW RD STE D, GRAND BLANC, MI 48439-8207
(810) 733-7741
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301102186
MI
247ZC0005X
Clinical Laboratory Director (Non-physician)
25MA06996600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922121102
—
MI
Enumeration date
04/10/2007
Last updated
09/19/2023
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