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General NPI Number Information
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NPI Number | 1417318304
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Entity Type | Individual
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Provider Name | COLIN STEWART LINKE D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 7920 W JEFFERSON BLVD STE 200
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City | FORT WAYNE
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State | IN
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Zip | 46804-4166
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Country | US
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Telephone | 260-702-9515
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Fax | 260-572-2207
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Provider Business Mailing Address
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Address Line | 7920 W JEFFERSON BLVD STE 200
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City | FORT WAYNE
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State | IN
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Zip | 46804-4166
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Country | US
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Telephone | 260-702-9515
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Fax | 260-572-2207
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125069080
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 02006233A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 305439
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License Number State | LA
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