Individual
DR. GRANT ADAM LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 300, SHELBY TOWNSHIP, MI 48315-3140
(586) 726-5566
(586) 726-8085
Mailing address
50505 SCHOENHERR RD, SUITE 300, SHELBY TOWNSHIP, MI 48315-3140
(586) 726-5566
(586) 726-8085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5315007756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4526970
—
MI
Enumeration date
05/27/2005
Last updated
12/22/2020
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