Theodore A Longinow M.D.

NPI 1003928177 - Internal Medicine - 207R00000X

NPI Details
NPI 1003928177
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
550 OSBORNE RD NE
FRIDLEY MN, 55432-2718, US
Phone (763) 236-5000
Fax
Business Location
10773 ARTESIAN LN
WOODBURY MN, 55129-5239, US
Phone (651) 436-6142
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 27234
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According to our database, Dr. Theodore A Longinow M.D. NPI is 1003928177, taxonomy code is 207R00000X and license number is 27234, license state is located at Minnesota. Theodore A Longinow M.D. physically located at 550 Osborne Rd Ne, Fridley MN, 55432-2718. NPI Number Theodore A Longinow M.D. has the Individual type.

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1003928177 NPI number is provided on an as is basis without warranty of any kind. 1003928177 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore A Longinow M.D. are for informational purposes only.