Individual
MARY ALICE LANGEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-7106
(612) 813-6325
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-7106
(612) 813-6325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 137994-7
MN
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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