GREGORY LONG

OSHKOSH, WI
NPI1720008881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  34345)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
-- GREGORY LONG MD
600 N WESTHAVEN DR
OSHKOSH, WI 54904-6926
Phone number: 920-237-5000
Mailing Address
-- GREGORY LONG MD
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3298