Individual
DR. MICHAEL V. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4902 TACOMA MALL BLVD, TACOMA, WA 98409-7149
(253) 473-0300
Mailing address
4902 TACOMA MALL BLVD, TACOMA, WA 98409-7149
(253) 473-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033896
WA
Other
Enumeration date
09/20/2006
Last updated
10/27/2011
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