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1568435980

NPI Code Detail

MEDICARE: WILLIAM ROBERT LYNCH MD

MEDICARE: WILLIAM ROBERT LYNCH 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
1	208600000X	Surgery Physician	4301069178	MI
2	2086S0102X	Surgical Critical Care Physician	4301069178	MI
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	4301069178	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	39466	OTHER	IA	WELLMARK BCBS
2	9401	OTHER	IA	WELLMARK BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568435980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ROBERT LYNCH MD

Provider Business Mailing Address
First Line	:	3621 S STATE ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-1633
Country	:	US
Telephone Number	:	734-647-5299
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 PARKLAND PLZ
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-6201
Country	:	US
Telephone Number	:	734-998-7380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	10/06/2020

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Directions to “ WILLIAM ROBERT LYNCH MD” Practice Location

Language	Start Address	Practice Location

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