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425 N Michigan Ave Ste C Beulah MI 49617-9701 | |
(231) 882-5514 | |
(231) 882-5517 |
Full Name | |
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Speciality | Psychologist |
Location | 425 N Michigan Ave, Beulah, Michigan |
Authorized Official Name and Position | Frank Langer (OWNER) |
Authorized Official Contact | 2318825514 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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425 N Michigan Ave Ste C Beulah MI 49617-9701 Ph: (231) 882-5514 | 425 N Michigan Ave Ste C Beulah MI 49617-9701 Ph: (231) 882-5514 |
NPI Number | 1568639144 |
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Provider Enumeration Date | 05/13/2008 |
Last Update Date | 05/13/2008 |
Medicare PECOS PAC ID | 5698845451 |
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Medicare Enrollment ID | O20080605000183 |
Identifier | Type | State | Issuer |
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1568639144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 6301013005 (Michigan) | Primary |
Provider Name | Frank W Langer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528154374 PECOS PAC ID: 6800785114 Enrollment ID: I20080603000273 |