| Leroy Lang Jr MD PC | |
|
6001 W Outer Dr Suite 430 Detroit MI 48235-2614 | |
| (313) 861-4200 | |
| (313) 861-8981 |
| Full Name | Leroy Lang Jr MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6001 W Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Leroy Lang (OWNER) |
| Authorized Official Contact | 3138614200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leroy Lang Jr MD PC 6001 W Outer Dr Suite 430 Detroit MI 48235-2614 Ph: (313) 861-4200 | Leroy Lang Jr MD PC 6001 W Outer Dr Suite 430 Detroit MI 48235-2614 Ph: (313) 861-4200 |
| NPI Number | 1215102777 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215102777 | NPI | - | NPPES |
| 1108216092 | Other | MI | BCBS PIN |
| 1184750101 | Other | MI | MEDICAI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | LL045267 (Michigan) | Primary |
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