Provider Demographics
NPI:1447227723
Name:MALMIN, LINKA SUZANNE
Entity Type:Individual
Prefix:MS
First Name:LINKA
Middle Name:SUZANNE
Last Name:MALMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15601 WOOD LN
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75707-6943
Mailing Address - Country:US
Mailing Address - Phone:903-565-4025
Mailing Address - Fax:
Practice Address - Street 1:15601 WOOD LN
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75707-6943
Practice Address - Country:US
Practice Address - Phone:903-565-4025
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Not Answered390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program