Alex Lange

NPI #1740092790 in Avon, Minnesota

Provider Information

NPI Number: 1740092790
Entity Type: Individual
Name: Alex Lange
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jan 24, 2025
Last Updated: Jun 20, 2025

Practice Location

Address: PO BOX 24
City: Avon
State: Minnesota
ZIP Code: 56310-0024
Phone: (320) 293-5046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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