DR. Michael James Long, OD

NPI #1093729584 in Edgerton, Wisconsin

Provider Information

NPI Number: 1093729584
Entity Type: Individual
Name: DR. Michael James Long, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1110 N MAIN ST
City: Edgerton
State: Wisconsin
ZIP Code: 53534
Phone: (608) 884-3314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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