Individual
MARLIS LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1998 STAR SCHOOL RD, HASTINGS, MI 49058-8784
(269) 948-3922
Mailing address
1998 STAR SCHOOL RD, HASTINGS, MI 49058-8784
(269) 948-3922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-105447
IL
Other
Enumeration date
02/07/2006
Last updated
08/04/2011
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