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General NPI Number Information
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NPI Number | 1386792091
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Entity Type | Individual
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Provider Name | MICHAEL D. LINDEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-1672
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Country | US
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Telephone | 336-716-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 14370 VIA VENEZIA 1201
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City | SAN DIEGO
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State | CA
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Zip | 92129-1661
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Country | US
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Telephone | 734-389-5496
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | G88743
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 4301057165
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2018-01123
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License Number State | NC
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