Healthcare Provider Details

I. General information

NPI: 1760707640
Provider Name (Legal Business Name): RICHARD LINSK, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 S MAIN ST
ANN ARBOR MI
48104-3786
US

IV. Provider business mailing address

1310 S MAIN ST
ANN ARBOR MI
48104-3786
US

V. Phone/Fax

Practice location:
  • Phone: 734-786-3833
  • Fax: 734-994-8622
Mailing address:
  • Phone: 734-786-3833
  • Fax: 734-994-8622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD LEWIS LINSK
Title or Position: OWNER
Credential: MD, PHD
Phone: 734-717-1245