Individual
DR. STEVEN CHARLES LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(763) 572-5710
(763) 782-8100
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21702
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408794
MEDICA #
MN
01
—
08F70LO
BCBS OF MN
MN
01
—
1000842
PREFERRED ONE
MN
01
—
107307
UCARE MN #
MN
01
—
21984
AMERICA'S PPO
MN
01
—
4044526
AETNA INS
MN
01
—
HP19902
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
07/09/2007
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