Individual
CATHERINE ANNE LONG
Active
Individual
CATHERINE ANNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54052-20
WI
208000000X
Pediatrics Physician
54052-20
WI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
54052-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2008
Last updated
06/11/2015
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