Individual
DR. STEPHENIE R. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-2544
(207) 393-3132
Mailing address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-2544
(207) 393-3132
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
022299
LA
208600000X
Surgery Physician
Primary
MD25594
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480517
—
LA
Enumeration date
07/12/2006
Last updated
03/22/2022
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