Individual
MR. RYAN WILLIAM LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-2228
(608) 262-2398
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.004906
IL
363AM0700X
Medical Physician Assistant
Primary
4341-23
WI
Other
Enumeration date
11/06/2013
Last updated
10/21/2022
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