Doctor Name: | TROY DEAN LONG |
NPI Number: | 1023019759 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 101866 |
Business Practice Address: | 3300 Oakdale Ave N Robbinsdale, MN - 554222926 |
Business Phone Number: | 7635592171 |
Business Fax Number: | 7636949000 |
Mailing Address: | 2800 Campus Drive #10, PLYMOUTH |
State: | MN |
Postal Code: | 55441 |
Phone Number: | 7635592171 |
Fax Number: | 7636949000 |
NPI Enumeration Date: | 08/03/2005 |
NPI Last Update Date: | 03/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | 101866 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |