AMANDA LEIGH LONG

MADISON, WI
NPI1548601875
Former NameAMANDA LEIGH FIELD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  5101024409)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
207R00000X Internal Medicine
(Licence: IN  02004620A)
Enumeration Date2013-07-15
Last Update Date2023-09-11
Business Address
Dr. AMANDA LEIGH LONG D.O.
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number: 608-256-1901
Mailing Address
Dr. AMANDA LEIGH LONG D.O.
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299