Provider Demographics
NPI:1134452188
Name:VERHUN, LINDA M (PA-C)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:VERHUN
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:1235 INDUSTRIAL DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1741
Mailing Address - Country:US
Mailing Address - Phone:734-944-8000
Mailing Address - Fax:734-944-8008
Practice Address - Street 1:1235 INDUSTRIAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1741
Practice Address - Country:US
Practice Address - Phone:734-944-8000
Practice Address - Fax:734-944-8008
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2015-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN70790045Medicare PIN