MICHELLE R LONGMIRE

CSI MEDICAL GROUP

Dr MICHELLE R LONGMIRE is a female medical professional, specializing in Dermatology. She graduated in 2010 from University Of New Mexico School Of Medicine.

Contact

CSI MEDICAL GROUP

603 S KNICKERBOCKER DR
SUNNYVALE
CA
940871034

Tel: 4087360441

MICHELLE R LONGMIRE Information

Npi 1659691723
Pac Id 5597089912
Professional Enrollment Id I20150113001461
Last Name LONGMIRE
First Name MICHELLE
Middle Name R
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CSI MEDICAL GROUP
Group Practice Pac Id 5890916845
Number Of Group Practice Members 67
Line 1 Street Address 603 S KNICKERBOCKER DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SUNNYVALE
State CA
Zip Code 940871034
Phone Number 4087360441
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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