Provider Demographics
NPI:1083942304
Name:SVEC, LINDA P (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:P
Last Name:SVEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:P
Other - Last Name:PEARLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2900 E BROADWAY AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-5184
Mailing Address - Country:US
Mailing Address - Phone:701-221-9997
Mailing Address - Fax:701-224-9824
Practice Address - Street 1:2900 E BROADWAY AVE STE 1
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-5184
Practice Address - Country:US
Practice Address - Phone:701-221-9997
Practice Address - Fax:701-224-9824
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND6682207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND17430Medicaid