DR. MARY LANGE, PHD, NP
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1740394055
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | 4704103457 (MI) |
Frequently Asked Questions
NPI 1740394055 is the National Provider Identifier for DR. MARY LANGE, PHD, NP, a Nurse Practitioner - Primary Care provider located in Detroit, MI. This NPI was enumerated on August 17, 2006.
DR. MARY LANGE, PHD, NP practices at 4601 JOHN R, Detroit, MI 48201.
Quick Facts
- NPI
- 1740394055
- Type
- Individual
- Enumerated
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
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