Organization
LONGNECK MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLYNNE EISNER M. D. (OWNER/PRESIDENT)
(734) 241-3891
Entity
Organization
Contact information
Practice address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014
Mailing address
6642 LEWIS AVE # 12, TEMPERANCE, MI 48182-1201
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301096175
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301096175
STATE LICENSE NUMBER
MI
Enumeration date
10/24/2013
Last updated
10/24/2013
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