JEFFREY A LONG

GREEN BAY, WI
NPI1407327299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4603)
Enumeration Date2018-12-06
Last Update Date2022-05-12
Business Address
JEFFREY A LONG PA-C
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
Mailing Address
JEFFREY A LONG PA-C
1824 TROTTER CT
DE PERE, WI 54115-4013
Phone number: 910-823-7961