Individual
SCOTT E. LANGENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22151 MOROSS RD STE 209, DETROIT, MI 48236
(313) 343-3978
Mailing address
22151 MOROSS RD STE 209, DETROIT, MI 48236-2177
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
4301069906
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521515
ANTHEM
OH
01
—
020H277290
BLUE CROSS BLUE SHIELD MI
MI
01
—
04561
PARAMOUNT
OH
01
—
146595
GLHP
—
01
—
2486804
BCMH
OH
05
—
2486804
—
OH
05
—
4072053
—
MI
05
—
4115606
—
MI
05
—
4672412
—
MI
05
—
5202232
—
MI
01
—
7633064
AETNA
OH
01
—
7660
HEALTH PLAN OF MI
—
01
—
SL069906
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
07/28/2005
Last updated
05/29/2025
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