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Individual

PAUL HENRY LANGENKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1104 RUBY LN, COLDWATER, OH 45828-1082
(419) 678-8397
Mailing address
1104 RUBY LN, COLDWATER, OH 45828-1082
(419) 678-8397

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35056214
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000212245
ANTHEM
05
2291694
OH
Enumeration date
10/03/2006
Last updated
07/03/2013
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