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Individual

DR. WALTER S. LANGHEINRICH

Active
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Individual

DR. WALTER S. LANGHEINRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01042688A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000686406
BCBS BMG NEUROSURGERY SB
IN
05
100410110
IN
01
M400033278
MEDICARE PTAN
IN
01
P00933715
RR MEDICARE
IN
Enumeration date
06/29/2006
Last updated
03/30/2021
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