Individual
DR. JEFFREY BRIAN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
361 BROOKPOINT CIR, WADSWORTH, OH 44281-8804
(330) 608-7009
Mailing address
361 BROOKPOINT CIR, WADSWORTH, OH 44281-8804
(330) 608-7009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-04-0850-L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396754
—
OH
Enumeration date
03/24/2006
Last updated
03/16/2016
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