Individual
DR. BLAINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1203 HEALTH PROFESSIONS BUILDING, CENTRAL MICHIGAN UNIVERSITY, MOUNT PLEASANT, MI 48859-9339
(989) 774-2805
(989) 774-3024
Mailing address
1203 HEALTH PROFESSIONS BUILDING, CENTRAL MICHIGAN UNIVERSITY, MOUNT PLEASANT, MI 48859-9339
(989) 774-2805
(989) 774-3024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001208
MI
Other
Enumeration date
01/18/2016
Last updated
02/03/2016
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