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Individual

DAVID A LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840
(715) 463-5353
Mailing address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26727
MN
207Q00000X
Family Medicine Physician
Primary
61281
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
333065600
MN
Enumeration date
06/12/2006
Last updated
06/26/2018
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