Individual
DR. TANNER FRED LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7807 N LAKE DR, FOX POINT, WI 53217-2911
(262) 347-9495
Mailing address
7807 N LAKE DR, FOX POINT, WI 53217-2911
(262) 347-9495
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49047-020
WI
Other
Enumeration date
11/01/2006
Last updated
07/21/2022
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