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NPI Code Detail

MEDICARE: DR. STEVEN E LONG MD

MEDICARE:  DR. STEVEN E LONG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician41203MN

General Provider Information

NPI Number : 1548211055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN E LONG MD
Provider Business Mailing Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-6800
Fax Number :
Provider Business Practice Location Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN E LONG MD” Practice Location

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