Long, Graham W

Long, Graham W is an individual health care provider with primary practice located at 525 E Big Beaver Rd Suite 125, Troy MI 48083-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Long, Graham W can be contacted via phone (248) 688-9860.

Contact Information

Primary practice address
525 E Big Beaver Rd Suite 125 Troy MI 48083-1364
Phone: (248) 688-9860
Fax: (248) 688-9861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301051392 Michigan

Profile Details

NPI number 1932179132
LBN Legal business name Long, Graham W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932179132 NPPES
Michigan MEDICAID 104647160

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