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NPI Code Detail

MEDICARE: MATTHIAS LINKE D.O.

MEDICARE: MATTHIAS LINKE D.O.
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
1208100000XPhysical Medicine & Rehabilitation Physician20A9010CA
2208100000XPhysical Medicine & Rehabilitation Physician4539AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811035025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHIAS LINKE D.O.
Provider Business Mailing Address
First Line : 222 W THOMAS RD STE 114
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4420
Country : US
Telephone Number : 602-406-6304
Fax Number : 602-406-6302
Provider Business Practice Location Address
First Line : 222 W THOMAS RD STE 114
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4420
Country : US
Telephone Number : 602-406-6304
Fax Number : 602-406-6302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 08/23/2023

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