Individual
JOANNA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
335 E MAHN CT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
Mailing address
335 E MAHN CT, OAK CREEK, WI 53154-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2795
WI
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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