Individual
KEVIN A LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
M207 MARSH LN, MARSHFIELD, WI 54449-9293
(715) 803-3085
Mailing address
M207 MARSH LN, MARSHFIELD, WI 54449-9293
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
32020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34204900
—
WI
Enumeration date
08/29/2006
Last updated
04/20/2009
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