Individual
MICHAEL JOSEPH LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3489
(602) 406-4402
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3489
(602) 406-4402
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
55771
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369565
—
AZ
Enumeration date
04/20/2011
Last updated
06/27/2018
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