Individual
THERESE J. LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6550
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12404270-1205
UT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
86041
WI
Other
Enumeration date
03/29/2020
Last updated
10/02/2025
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