Individual
MARK KENNETH LONGMUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 6TH ST SE, STANLEY, ND 58784-4444
(701) 628-2424
(701) 628-3274
Mailing address
PO BOX 399, STANLEY, ND 58784
(701) 628-2424
(701) 628-3274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12233
ND
Other
Enumeration date
07/17/2009
Last updated
06/04/2024
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