Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 4301112294 | MI |
Y | 2084V0102X | Vascular Neurology | 4301112294 | MI |
NPI | 1003177338 |
---|---|
Provider Name | Dr. Alex James Linn |
First Address | Sioux Falls, SD 57105-1032 |
Second Address | Sioux Falls, SD 57105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 24/05/2019 |