Individual
DR. KATHERINE CUSACK LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE, MADISON, WI 53792-0001
(309) 264-1315
Mailing address
2550 UNIVERSITY AVE APT 603, MADISON, WI 53705-3809
(309) 264-1315
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
66844-20
WI
Other
Enumeration date
06/05/2014
Last updated
03/08/2017
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