Individual
DR. JODY ALICE LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(414) 499-0016
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54039-020
WI
Other
Enumeration date
03/30/2008
Last updated
07/18/2013
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