NPI 1003973272 RANDI J. LONG M.D. TROY MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Randi J. Long - NPI: 1003973272

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: RANDI J. LONG
NPI Number: 1003973272
Entity Type Code: Individual (1)
Gender: F
Credentials: M.D.
License Number: 4301056088
Business Practice Address: 1777 Axtell Dr
Ste 107 Troy, MI - 480844404
Business Phone Number: 2486490450
Business Fax Number: 2486491238
Mailing Address: 1777 Axtell Dr, Ste 107
TROY
State: MI
Postal Code: 480844404
Phone Number: 2486490450
Fax Number: 2486491238
NPI Enumeration Date: 01/03/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 174400000X
License Number: 4301056088
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Other Service Providers
Taxonomy Classification: Specialist
Taxonomy Specialization:
Taxonomy Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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