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DR. MAX KARL LANGE D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1861603375

Individual Registrant:
DR. MAX KARL LANGE D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
11010 BOTTLE ROCK RD  KELSEYVILLE, CA 95451-8891 US
Tel: 707-279-1641  Fax: --

Contact information for business:
11010 BOTTLE ROCK RD  KELSEYVILLE, CA 95451-8891 US
Tel: 707-279-1641  Fax: --

Registration Information:
NPI: 1861603375
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CA22045

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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