Individual
MICHAEL ARLIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
450 4TH ST., DASSEL, MN 55325
(320) 275-3358
Mailing address
450 4TH ST., PO BOX 367, DASSEL, MN 55325
(320) 275-3358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9836
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891487700
—
MN
Enumeration date
07/19/2006
Last updated
07/08/2007
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