DR. Blaine Long, ATC

NPI #1871950113 in Mount Pleasant, Michigan

Provider Information

NPI Number
1871950113
Entity Type
Individual
Name
DR. Blaine Long, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jan 18, 2016
Last Updated
Feb 3, 2016

Practice Location

Address
1203 HEALTH PROFESSIONS BUILDING
Address 2
CENTRAL MICHIGAN UNIVERSITY
ZIP Code
48859-9339
Phone
(989) 774-2805

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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