Individual
DR. STEPHEN GLOVER LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 WEST WACKERLY STREET, SUITE 3500, MIDLAND, MI 48640-4713
(989) 839-1234
(989) 839-7090
Mailing address
555 WEST WACKERLY STREET, SUITE 3500, MIDLAND, MI 48640-4713
(989) 839-1234
(989) 839-7090
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301401783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705600882
BLUECROSSBLUESHIELD
—
01
—
G36801
CONNECTCAREAETNA PPO DOW
—
Enumeration date
09/01/2006
Last updated
07/18/2007
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