Individual
DR. MARK S LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 828-2530
(920) 828-2535
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39091
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34068500
—
WI
Enumeration date
08/23/2006
Last updated
04/07/2025
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