Individual
DR. THOMAS A LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 PHALEN BLVD - MS 51103H, HEALTHPARTNERS SPECIALTY CENTER 435, ST. PAUL, MN 55130-5302
(651) 254-8300
(651) 254-8379
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-8379
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31881
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179588100
—
MN
Enumeration date
01/24/2006
Last updated
12/07/2011
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