Individual
RYAN JOSEPH LONGFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1902
(608) 263-8100
(608) 262-6247
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01086496A
IN
207L00000X
Anesthesiology Physician
143984
AK
207L00000X
Anesthesiology Physician
Primary
81042
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
81042
WI
Other
Enumeration date
03/25/2014
Last updated
05/27/2025
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