Individual
IRENE MARGARET LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 MAPLE ST, PESHTIGO, WI 54157-1315
(715) 582-0204
Mailing address
300 MAPLE ST, PESHTIGO, WI 54157-1315
(715) 582-0204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
186062-30
WI
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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