B JACK LONGLEY

MADISON, WI
NPI1609835669
Other NameBRUCE JACK LONGLEY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ND0900X Dermatology Dermatopathology
(Licence: WI  43952)
Enumeration Date2006-03-20
Last Update Date2021-01-15
Business Address
B JACK LONGLEY MD
8 N PROSPECT AVE
MADISON, WI 53726-3936
Phone number: 000-000-0000
Mailing Address
B JACK LONGLEY MD
8 N PROSPECT AVE
MADISON, WI 53726-3936
Phone number:
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