Lange, Grant Adam

Lange, Grant Adam is an individual health care provider with primary practice located at 50505 Schoenherr Rd Suite 300, Shelby Township MI 48315-3140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lange, Grant Adam can be contacted via phone (586) 726-5566.

Contact Information

Primary practice address
50505 Schoenherr Rd Suite 300 Shelby Township MI 48315-3140
Phone: (586) 726-5566
Fax: (586) 726-8085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5315007756 Michigan

Profile Details

NPI number 1427051127
LBN Legal business name Lange, Grant Adam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Dec 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427051127 NPPES
Michigan MEDICAID 4526970

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