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Individual

DR. REUEL SHANNON LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6363 JENNINGS RD, ANN ARBOR, MI 48105-9642
(734) 665-3070
Mailing address
6363 JENNINGS RD, ANN ARBOR, MI 48105-9642
(734) 665-3070

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
028643
MI

Other

Enumeration date
04/10/2012
Last updated
04/10/2012
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