Individual
MR. RALF LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9544 11TH AVE, PLEASANT PRAIRIE, WI 53158-4912
(910) 545-1253
Mailing address
9544 11TH AVE, PLEASANT PRAIRIE, WI 53158-4912
(910) 545-1253
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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