Provider Demographics
NPI:1558441352
Name:LANGEL, DESIREE JANE (MD)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:JANE
Last Name:LANGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SOUTH CLIFF AVENUE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1019
Mailing Address - Country:US
Mailing Address - Phone:605-322-7200
Mailing Address - Fax:605-322-7222
Practice Address - Street 1:1301 SOUTH CLIFF AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1019
Practice Address - Country:US
Practice Address - Phone:605-322-7200
Practice Address - Fax:605-322-7222
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN40984207ZD0900X, 207ZP0102X
SD7632207ZD0900X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN11-00014OtherMEDICA-PRIMARY
MNHP38835OtherHEALTH PARTNERS
MN659452200Medicaid
MN129546OtherUCARE
MN1025844OtherPREFERRED ONE
1168871OtherARAZ
MN029A6LAOtherBCBS
MN11-00103OtherMEDICA-CHOICE
SDS103698Medicare PIN
MN129546OtherUCARE
1168871OtherARAZ