Individual
LONG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7600 FRANCE AVE S STE 1100, EDINA, MN 55435-5924
(952) 929-3566
(952) 929-3358
Mailing address
7600 FRANCE AVE S STE 1100, EDINA, MN 55435-5924
(763) 545-7545
(952) 929-2067
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
759
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273029400
—
MN
Enumeration date
05/27/2006
Last updated
03/17/2018
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