Individual
CODY LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E CRAMER ST, FORT ATKINSON, WI 53538-1257
(920) 563-2437
Mailing address
200 E CRAMER ST, FORT ATKINSON, WI 53538-1257
(920) 563-2437
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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