Individual
JEROME LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6777 W MAPLE RD, DEPARTMENT OF ANESTHESIA, WEST BLOOMFIELD, MI 48322-3013
(248) 325-0636
(248) 325-0640
Mailing address
6777 WEST MAPLE DRIVE, DEPARTMENT OF ANESTHESIA, WEST BLOOMFIELD, MI 48322
(248) 325-0636
(248) 325-0640
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301043297
MI
Other
Enumeration date
11/15/2006
Last updated
04/16/2013
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