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Individual

MARK TAYLOR LANGENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35093
TN
208000000X
Pediatrics Physician
Primary
35093
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3875548
TN
Enumeration date
04/17/2006
Last updated
06/06/2024
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