Individual
DR. RACHAEL E. VANDEN LANGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
Mailing address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61517-21
WI
207Q00000X
Family Medicine Physician
OS015861
PA
207Q00000X
Family Medicine Physician
OT013624
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61517-21
STATE LICENSE
WI
Enumeration date
06/30/2010
Last updated
03/06/2014
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