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Deborah Longley MD NPI 1003855735

Classification
Internal Medicine
Type
License No.
4301042796
License State
MI
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State
Identifier: B47212
Type: MEDICARE UPIN (02)
State:
Identifier: 0D16150007
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: MI

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1300 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503
Business Phone
616-459-8338
Mailing Address
4085 BURTON ST SE, GRAND RAPIDS, MI, 495462444
Mailing Phone
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