Individual
CHAD MICHAEL LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, AT, CSCS
Contact information
Practice address
1629 N WASHINGTON AVE, SAGINAW, MI 48601-1211
(989) 757-1872
Mailing address
865 W BROADWAY RD, MOUNT PLEASANT, MI 48858-9086
(989) 854-4924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000711
MI
Other
Enumeration date
11/03/2011
Last updated
12/15/2016
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