| Linda M Waldman Md Pc | |
|
5665 W Maple #a West Bloomfield MI 48322 | |
| (248) 626-8884 | |
| (248) 626-8836 |
| Full Name | Linda M Waldman Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5665 W Maple, West Bloomfield, Michigan |
| Authorized Official Name and Position | Linda M Waldman (PRESIDENT) |
| Authorized Official Contact | 2486268884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda M Waldman Md Pc 5665 W Maple #a West Bloomfield MI 48322 Ph: (248) 626-8884 | Linda M Waldman Md Pc 5665 W Maple #a West Bloomfield MI 48322 Ph: (248) 626-8884 |
| NPI Number | 1134397631 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 1557449378 |
|---|---|
| Medicare Enrollment ID | O20080508000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134397631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | LW057470 (Michigan) | Primary |
| Provider Name | Linda M Waldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043255235 PECOS PAC ID: 0648358465 Enrollment ID: I20080419000063 |
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