Search › Wisconsin › 152W00000X
Michael Long, OD
NPI 1093729584 · on the registry since 2006
Practice
- Address
- 1110 N Main St
Edgerton, WI 53534 - Phone
- (608) 884-3314
- Fax
- (608) 884-4923
- Organisation at this address
- Milton & Edgerton Vision Centers, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin