Healthcare Provider Details

I. General information

NPI: 1265895791
Provider Name (Legal Business Name): LINSEY GILBERT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINSEY HOUGH

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IHA HOSPITAL MEDICINE SERVICES 5301 E HURON RIVER DRIVE
YPSILANTI MI
48197
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-8676
  • Fax:
Mailing address:
  • Phone: 734-747-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101024915
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number5101024915
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: