Individual
DR. ROBERT HELTON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 MADISON AVE STE 402, MANKATO, MN 56001-5476
(507) 625-7246
(507) 386-2599
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
48482
MN
208VP0014X
Interventional Pain Medicine Physician
Primary
48482
MN
Other
Enumeration date
07/26/2006
Last updated
03/23/2018
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