Individual
MRS. ADELE MICHIKO LANGENESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773
(855) 324-7843
Mailing address
789 RIDGE PL, MENDOTA HEIGHTS, MN 55118-4327
(808) 856-9676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13038
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/27/2017
Last updated
10/03/2019
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