Individual
MITCHELL LONG II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8424 THAMES CT, YPSILANTI, MI 48198-3650
(734) 845-6793
Mailing address
8424 THAMES CT, YPSILANTI, MI 48198-3650
(734) 845-6793
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/24/2025
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