Individual
MR. SCOTT THOMAS LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA, RRA
Contact information
Practice address
1535 GULL RD STE 200, KALAMAZOO, MI 49048-1638
(269) 388-6350
Mailing address
9745 S CLINTON TRL, EATON RAPIDS, MI 48827-8582
(517) 490-5690
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
—
—
Other
Enumeration date
07/11/2008
Last updated
10/25/2019
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