Individual
JOSEPH GILMORE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
716 W MARKET ST, STE A, TIFFIN, OH 44883
(419) 443-8877
(419) 443-8885
Mailing address
716 W MARKET ST, STE A, TIFFIN, OH 44884
(419) 443-8877
(419) 443-8885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6495
OH
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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