GRIFFIN LONGLEY

PORT HURON, MI
NPI1568166130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011643)
Enumeration Date2023-03-28
Last Update Date2024-08-12
Business Address
GRIFFIN LONGLEY
940 RIVER CENTRE DR
PORT HURON, MI 48060-4463
Phone number: 810-985-4900
Mailing Address
GRIFFIN LONGLEY
6672 NEWARK RD
IMLAY CITY, MI 48444-9657
Phone number: