Michigan Infusion and Licensed Healthcare
NPI #1164153367 in Plymouth, Michigan
Provider Information
- NPI Number
- 1164153367
- Entity Type
- Organization
- Organization Name
- Michigan Infusion and Licensed Healthcare
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 20, 2022
- Last Updated
- Jun 20, 2022
Practice Location
Authorized Official
- Name
- KELLY L LONG, PA-C
- Title
- OWNER/MANAGER
- Phone
- (734) 341-7767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
| Physician Assistant |
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