Long, Michael

Long, Michael is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Long, Michael can be contacted via phone (612) 672-6000.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Phone: (612) 672-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 34481 Minnesota

Profile Details

NPI number 1821071317
LBN Legal business name Long, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Sep 28th, 2021 - about 3 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 1821071317 NPPES
Minnesota MEDICAID 825714100

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