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Individual

SHERRI A LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 VILLAGE CENTER DR, SUITE 200, NORTH OAKS, MN 55127-7848
(651) 789-9800
(651) 789-9810
Mailing address
400 VILLAGE CENTER DR, SUITE 200, NORTH OAKS, MN 55127-7848
(651) 789-9800
(651) 789-9810

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31866
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
974790700
MN
Enumeration date
02/13/2006
Last updated
09/11/2014
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