Individual
RACHAEL OLIVIA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NOBLE PKWY N, BROOKLYN PARK, MN 55443-5500
(763) 236-5300
(763) 236-5250
Mailing address
6600 EXCELSIOR BLVD, SUITE 160, ST LOUIS PARK, MN 55426-4744
(952) 993-7711
(952) 993-6798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55362
MN
Other
Enumeration date
04/18/2011
Last updated
11/10/2020
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