Michael J Long, M.D.

NPI #1053383646 in Hartford, Wisconsin

Provider Information

NPI Number: 1053383646
Entity Type: Individual
Name: Michael J Long, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 7, 2006
Last Updated: Mar 29, 2023

Practice Location

Address: 1640 E SUMNER ST
City: Hartford
State: Wisconsin
ZIP Code: 53027-2684
Phone: (262) 670-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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