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Jeffrey Long, PA-C
NPI 1407327299 · on the registry since 2018
Practice
- Address
- 1821 S Webster Ave
Green Bay, WI 54301 - Phone
- (920) 496-4700
- Organisation at this address
- Prevea Health
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
St Vincent Hospital-Hospital Sisters-Third Order Of St FrancisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 103
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-12
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