Individual
MICHAEL ALLEN LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0434
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6826960
—
SD
Enumeration date
07/07/2006
Last updated
08/26/2010
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