Individual
MS. JILL MARIE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3180
Mailing address
1645 WEDGEWOOD DR NE, OWATONNA, MN 55060-2168
(507) 455-1445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 120518-9
MN
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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