Individual
JEFFREY J LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-6189
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-6189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
540
ND
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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