Individual
DR. MICHAEL JOHN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 E WILLETTA ST, STE 2503, PHOENIX, AZ 85006-2727
(602) 839-2307
(602) 839-2307
Mailing address
901 E WILLETTA ST, STE 2503, PHOENIX, AZ 85006-2727
(602) 839-2307
(602) 839-2307
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
04-27075
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290540B
—
KS
Enumeration date
06/08/2006
Last updated
08/30/2010
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