Individual
ABBOTT LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 UNIVERSITY PARK DR STE 100, OKEMOS, MI 48864-5955
(866) 291-8691
(517) 394-4590
Mailing address
2111 UNIVERSITY PARK DR STE 100, OKEMOS, MI 48864-5955
(866) 291-8691
(517) 394-4590
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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