Individual
RAYMOND M LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1010 N ROCHESTER ST, MUKWONAGO, WI 53149-8738
(262) 363-1680
Mailing address
1010 N ROCHESTER ST, MUKWONAGO, WI 53149-8738
(262) 363-1680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15618-40
WI
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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