Individual
TROY DEAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 559-2171
(763) 694-9000
Mailing address
2800 CAMPUS DRIVE #10, PLYMOUTH, MN 55441
(763) 559-2171
(763) 694-9000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
101866
MN
2085R0202X
Diagnostic Radiology Physician
Primary
101866
MN
2085R0204X
Vascular & Interventional Radiology Physician
101866
MN
Other
Enumeration date
08/03/2005
Last updated
03/03/2009
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