Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 1001527 | WI |
NPI | 1003345133 |
---|---|
Provider Name | Caroline M Link |
First Address | Albany, GA 31707-2271 |
Second Address | Platteville, WI 53818-1814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2017 |
Last Update Date | 11/06/2020 |