Individual
DAVID EUGENE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 WESTWOOD CENTER BLVD, WAUSAU, WI 54401
(715) 355-9424
Mailing address
1901 WESTWOOD CENTER BLVD, WAUSAU, WI 54401-2892
(715) 355-9424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34537
WI
208D00000X
General Practice Physician
34537
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31996700
—
WI
Enumeration date
08/27/2006
Last updated
10/01/2018
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