Individual
JOHN D LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1355
(906) 483-1320
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1355
(906) 483-1320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01053792A
IN
207L00000X
Anesthesiology Physician
4301101945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C16002
MEDICARE GROUP PTAN
MI
01
—
0C16002144
MEDICARE PTAN
MI
05
—
200544270
—
IN
05
—
300020699
—
IN
05
—
7100899980
—
KY
Enumeration date
05/25/2006
Last updated
03/20/2026
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