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NPI Code Detail

MEDICARE: LINDA CAREN RUNYON MD

MEDICARE: LINDA CAREN RUNYON 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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician4301048990MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME5025073831802OTHERMIME#

General Provider Information

NPI Number : 1285627182
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA CAREN RUNYON MD
Provider Business Mailing Address
First Line : 725 E STATE ST
Second Line :
City : STERLING
State : MI
Zip : 48659-9548
Country : US
Telephone Number : 989-654-3384
Fax Number :
Provider Business Practice Location Address
First Line : 725 E STATE ST
Second Line : STERLING AREA HEALTH CENTER
City : STERLING
State : MI
Zip : 48659-9548
Country : US
Telephone Number : 989-654-2491
Fax Number : 989-654-2190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 10/06/2021

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Directions to “ LINDA CAREN RUNYON MD” Practice Location

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