Individual
DR. MICHAEL LONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5963
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38356
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031491
PREFERRED ONE
MN
01
—
141919
UCARE MN
MN
01
—
1664058
AMERICA'S PPO
MN
01
—
1900543
MEDICA
MN
01
—
273K5TR
BCBS OF MN
MN
01
—
7904401
AETNA INS
MN
01
—
HP18452
HEALTHPARTNERS
MN
Enumeration date
08/31/2006
Last updated
07/09/2007
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