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NPI Code Detail

MEDICARE: GEOFFREY M LINZ MD

MEDICARE: GEOFFREY M LINZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301038240MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CA9749 POO359OTHERMIMETRAHEALTH
2252806OTHERMIMHP HAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
440-00420OTHERMIPHP

General Provider Information

NPI Number : 1952363921
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOFFREY M LINZ MD
Provider Business Mailing Address
First Line : 401 S BALLENGER HWY
Second Line :
City : FLINT
State : MI
Zip : 48532-3638
Country : US
Telephone Number : 810-342-1000
Fax Number : 810-342-1590
Provider Business Practice Location Address
First Line : 2316 S CEDAR ST
Second Line : SUITE 500
City : LANSING
State : MI
Zip : 48910-3152
Country : US
Telephone Number : 517-702-4350
Fax Number : 517-702-4359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/08/2007

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Directions to “ GEOFFREY M LINZ MD” Practice Location

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