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Contact Information

MICHAEL A LONG, P.A.-C.
450 4TH ST.
DASSEL, MN55325
 Phone: 320-275-3358
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL A LONG · (Male)

NPI Number 1043239775
Status Active
Credentials P.A.-C.
Entity Individual
Enumeration date 07/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9836
  • MN Medicaid 891487700
Hospital affiliation(s)
  • HUTCHINSON AREA HEALTH CARE - (Acute Care)
    1095 HIGHWAY 15 SOUTH
    HUTCHINSON, MN 55350
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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