LEROY LANG JR MD PC
Osteopathic Medicine at Outer Dr, Detroit, MI

License number
Michigan LL045267
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: LEROY LANG JR. MD
Title: OWNER
Phone: (313) 861-4200
Address
Address
6001 W Outer Dr SUITE 430, Detroit, MI 48235
National Provider ID: 1215102777
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEROY LANG, JR., M.D., PC

6001 W Outer Dr #330, Detroit, MI 48235

Status:
Inactive
Registration:
Aug 1, 1986
State ID:
267685
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2002
Agent:
Leroy Lang, Jr., M.d

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