Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 26981 | MN |
NPI | 1033141023 |
---|---|
Provider Name | Dr. Michael Earl Lins |
First Address | Fridley, MN 55432-4341 |
Second Address | Fridley, MN 55432-4946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 02/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0810602 | MEDICA # (01) | MN |
08F67LI | BCBS OF MN (01) | MN |
1000854 | PREFERRED ONE (01) | MN |
107306 | UCARE MN# (01) | MN |
23428 | AMERICA'S PPO (01) | MN |
4044527 | AETNA INS (01) | MN |
887578200 | (05) | MN |
A94279 | (02) | MN |
HP19929 | HEALTHPARTNERS (01) | MN |