Individual
JULIE R LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1217 8TH ST N, NEW ULM, MN 56073
(507) 233-1000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R 122043-6
MN
363L00000X
Nurse Practitioner
Primary
R122043-6
MN
Other
Enumeration date
07/18/2006
Last updated
01/23/2023
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