Individual
JAMES W DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7100
Mailing address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262703500
—
MN
Enumeration date
03/14/2006
Last updated
06/06/2011
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