Individual
MISS MAGEN MARIE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
602 12TH STREET, DE WITT, IA 52742-9998
(563) 659-8155
(563) 659-3520
Mailing address
602 12TH STREET, DE WITT, IA 52742-9998
(563) 659-8155
(563) 659-3520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007112
IA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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