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Contact Information

CHRISTOPHER M LONG, MD
9200 W WISCONSIN AVE
OTOLARYNGOLOGY
MILWAUKEE, WI53226-3522
 Phone: 414-805-5580
 Fax: 414-805-8324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHRISTOPHER M LONG · (Male)

NPI Number 1659382117
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 04/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 39103
  • WI Medicaid 1659382117
  • WI Medicaid 34075100
Hospital affiliation(s)
  • FROEDTERT MEMORIAL LUTHERAN HSPTL - (Acute Care)
    9200 W WISCONSIN AVE
    MILWAUKEE, WI 53226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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