Michael J Long, MD | |
1640 E Sumner St, Hartford, WI 53027-2684 | |
(262) 670-4000 | |
Not Available |
Full Name | Michael J Long |
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Gender | Male |
Speciality | Family Medicine |
Location | 1640 E Sumner St, Hartford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053383646 | NPI | - | NPPES |
31752100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 32332 (Wisconsin) | Primary |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Michael J Long, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () - | Michael J Long, MD 1640 E Sumner St, Hartford, WI 53027-2684 Ph: (262) 670-4000 |
Amber Hildebrandt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-670-1800 | |
Bruce Edward Hickman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4451 | |
Carter A Aune, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-670-1800 | |
Paul V Bullis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4451 | |
Nicholas John Brahm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Erin L Polczynski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-369-7040 Fax: 262-367-8744 |