Individual
GRIFFIN LONGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 RIVER CENTRE DR, PORT HURON, MI 48060-4463
(810) 985-4900
(810) 985-3634
Mailing address
6672 NEWARK RD, IMLAY CITY, MI 48444-9657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011643
MI
Other
Enumeration date
03/28/2023
Last updated
08/12/2024
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