| Longneck Medical Pllc | |
|
5623 E Dunbar Rd Monroe MI 48161-9127 | |
| (734) 241-3891 | |
| (734) 241-0014 |
| Full Name | Longneck Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5623 E Dunbar Rd, Monroe, Michigan |
| Authorized Official Name and Position | Arlynne Eisner (OWNER/PRESIDENT) |
| Authorized Official Contact | 7342413891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longneck Medical Pllc 6642 Lewis Ave # 12 Temperance MI 48182-1201 Ph: (734) 241-3891 | Longneck Medical Pllc 5623 E Dunbar Rd Monroe MI 48161-9127 Ph: (734) 241-3891 |
| NPI Number | 1386072635 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386072635 | NPI | - | NPPES |
| 4301096175 | Other | MI | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301096175 (Michigan) | Primary |
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