Gordon Lange

NPI #1649816901 in Howell, Michigan

Provider Information

NPI Number: 1649816901
Entity Type: Individual
Name: Gordon Lange
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 21, 2019
Last Updated: Nov 21, 2019

Practice Location

Address: 10059 E HIGHLAND RD
City: Howell
State: Michigan
ZIP Code: 48843-1367
Phone: (810) 991-2352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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