MICHAEL E LONGEVIN MDSC NPI 1578870556

NPI Information

MICHAEL E LONGEVIN MDSC is an urology in Peoria, IL. The provider is 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. MICHAEL E LONGEVIN MDSC NPI is 1578870556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 112
PEORIA, IL
ZIP 61614-098
Phone: (309) 692-5828
Fax: (309) 692-5904

The provider's authorized official is Michael E Longevin .
The authorized official title is President and has the following contact phone number (309) 692-5828.

The enumeration date for this NPI number is 9/11/2010 and was last updated on 9/23/2010.

Taxonomy Codes

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