Individual
MR. JUSTIN LONGSTRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 426-9295
Mailing address
339 ORCHARD ST, STANDISH, MI 48658-9701
(989) 246-4983
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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