Longevity Clinical Ltc Associates of Michigan Pllc
NPI #1154992196 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1154992196
- Entity Type
- Organization
- Organization Name
- Longevity Clinical Ltc Associates of Michigan Pllc
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Jul 9, 2021
- Last Updated
- Jul 9, 2021
Practice Location
- Address
- 26505 POWERS AVE
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48125-1327
- Phone
- (313) 291-6200
Authorized Official
- Name
- DIANE VINCUR
- Title
- CLINICAL SUPPORT TALENT SPECIALIST
- Phone
- (561) 815-2427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner - Primary Care — Primary Care |
| Family Medicine |
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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