Individual
DR. MARIE LOUISE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6775 RED PRAIRIE RD, SHERIDAN, OR 97378-9516
(503) 949-4504
Mailing address
8345 NW 66TH ST, #5896, MIAMI, FL 33166-2626
(503) 949-4504
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
7604A
WY
207T00000X
Neurological Surgery Physician
LT1654
AZ
207T00000X
Neurological Surgery Physician
Primary
MD26287
OR
207T00000X
Neurological Surgery Physician
—
IL
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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