Individual
AMANDA CLAIRE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13699 E OLD US HIGHWAY 12, CHELSEA, MI 48118-9664
(734) 475-4500
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301086037
MI
208M00000X
Hospitalist Physician
4301086037
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301086037
MI
Other
Enumeration date
04/03/2007
Last updated
07/02/2021
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