Daniel L Longo, CRNA | |
2333 Biddle St, Wyandotte, MI 48192-4668 | |
(734) 324-3697 | |
(734) 324-3425 |
Full Name | Daniel L Longo |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2333 Biddle St, Wyandotte, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154334506 | NPI | - | NPPES |
3169999 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704112671 (Michigan) | Primary |
Entity Name | Henry Ford Wyandotte Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386685212 PECOS PAC ID: 2264334499 Enrollment ID: O20040127000187 |
Entity Name | Northland Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386804060 PECOS PAC ID: 7719884741 Enrollment ID: O20040214000016 |
Mailing Address | Practice Location Address |
---|---|
Daniel L Longo, CRNA 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (734) 324-3697 | Daniel L Longo, CRNA 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (734) 324-3697 |
Kurt M Schuon, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3697 Fax: 734-324-3425 | |
Charles T Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3697 Fax: 734-324-3425 | |
Jessica Finateri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Mrs. Janis Faye Grose, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 70 Poplar St, Wyandotte, MI 48192 Phone: 734-285-7198 | |
Jamie Ettaher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Jayne A Cady, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3697 Fax: 734-324-3425 | |
Evan R Guffey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2085 17th St, Wyandotte, MI 48192 Phone: 734-775-5758 |