Individual
DR. MARY PATRICIA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, NP
Contact information
Practice address
4601 JOHN R, DETROIT, MI 48201
(313) 576-3955
(313) 576-1191
Mailing address
29344 GLENCASTLE DR, FARMINGTON HILLS, MI 48336-1418
(248) 478-6199
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704103457
MI
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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