Individual
DR. GORDON EDWARD LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5124 N ARDMORE AVE, WHITEFISH BAY, WI 53217-5743
(414) 963-9951
(414) 963-9861
Mailing address
5124 N ARDMORE AVE, WHITEFISH BAY, WI 53217-5743
(414) 963-9951
(414) 963-9861
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
13754-020
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13754-020
WI
Other
Enumeration date
05/18/2007
Last updated
03/28/2011
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