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Search › Indiana › 364SL0600X

Michael Long

NPI 1437885910 · on the registry since 2022

Practice

Address
602 Woodbridge Ave
Logansport, IN 46947
Phone
(574) 753-3223
Organisation at this address
Grandview Care Inc
Witham Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
364SL0600X
364SL0600X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana