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1003928177
THEODORE A LONGINOW
FRIDLEY, MN
NPI
1003928177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 27234)
Enumeration Date
2006-08-31
Last Update Date
2021-03-11
Business Address
Dr. THEODORE A LONGINOW M.D.
550 OSBORNE RD NE
FRIDLEY, MN 55432-2718
Phone number: 763-236-5000
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Mailing Address
Dr. THEODORE A LONGINOW M.D.
10773 ARTESIAN LN
WOODBURY, MN 55129-5239
Phone number: 651-436-6142
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