Organization
NORTHWEST SUBURBAN UROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LONG TRAN M.D. (PRESIDENT)
(952) 843-4300
Entity
Organization
Contact information
Practice address
7261 OHMS LN, EDINA, MN 55439-2148
(952) 843-4300
(952) 843-4301
Mailing address
7261 OHMS LN, EDINA, MN 55439-2148
(952) 843-4300
(952) 843-4301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38356
MN
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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