Individual
CHERYL LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 MILLWOOD ST, CARO, MI 48723-1630
(989) 672-1555
Mailing address
747 SAND RD, PORT AUSTIN, MI 48467-9754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704123502
MI
363LA2100X
Acute Care Nurse Practitioner
4704123502
MI
Other
Enumeration date
03/28/2007
Last updated
12/01/2023
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