Individual
KATHARINE RAE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE S, MINNEAPOLIS, MN 55404
(612) 813-6000
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5691
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
273683
NY
208000000X
Pediatrics Physician
Primary
62945
MN
Other
Enumeration date
04/21/2011
Last updated
09/18/2022
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