Organization · Type 2 NPI
Michael E Longevin MDSC
Urology Physician · Peoria, IL
NPI number
1578870556
Active
Practice location
5401 N Knoxville Ave, Suite 112
Peoria, IL 61614-5098
Fax (309) 692-5904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | 036-072215 (IL) |
Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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About NPI 1578870556
Michael E Longevin MDSC's National Provider Identifier is 1578870556, issued on Sep 11, 2010. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Peoria, IL. The record was last updated on Sep 23, 2010.