Provider Demographics
NPI:1639413107
Name:LINTON, JULIE M (PA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:LINTON
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:5555 GLENWOOD HILLS PKWY SE STE 2
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49512-2091
Mailing Address - Country:US
Mailing Address - Phone:616-940-2662
Mailing Address - Fax:616-940-3040
Practice Address - Street 1:32255 NORTHWESTERN HWY STE 165
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1505
Practice Address - Country:US
Practice Address - Phone:248-735-8272
Practice Address - Fax:248-735-7276
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2021-05-04
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Provider Licenses
StateLicense IDTaxonomies
MI5601006516363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant