Lange, Mary Patricia

Lange, Mary Patricia is an individual health care provider with primary practice located at 4601 John R , Detroit MI 48201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Lange, Mary Patricia can be contacted via phone (313) 576-3955.

Contact Information

Primary practice address
4601 John R Detroit MI 48201
Phone: (313) 576-3955
Fax: (313) 576-1191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704103457 Michigan

Profile Details

NPI number 1740394055
LBN Legal business name Lange, Mary Patricia
Credentials PHD, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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