Individual
BRETT JOSEPH LONGLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
62085
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62085
WI STATE LIC
WI
Enumeration date
06/22/2010
Last updated
12/17/2021
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