| NPI | 1689778714 |
|---|---|
| Former Legal Business Name | LONGNECK FAMILY PRACTICE, PA |
| Entity Type | Organization |
| Authorized Contact | JEFFREY E HAWTOF Pres 320-947-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2011-02-18 |