Individual
CASEY JEANNE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-1741
(715) 848-2225
Mailing address
500 W COLLEGE AVE, WITTENBERG, WI 54499-9196
(715) 253-2239
(715) 253-3331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4772-012
WI
111NS0005X
Sports Physician Chiropractor
5509
MN
Other
Enumeration date
04/07/2011
Last updated
07/13/2020
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