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Individual

MICHAEL B DELONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1310 E 7TH ST STE F, AUBURN, IN 46706-2518
(260) 920-2710
(260) 920-2043
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01089781A
IN
208600000X
Surgery Physician
MD041083
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1445027
MI
Enumeration date
07/27/2006
Last updated
05/04/2023
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