Provider Demographics
NPI:1720003718
Name:LANGER, ERIC SCOTT (DO)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SCOTT
Last Name:LANGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:38731 MOUND ROAD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3210
Mailing Address - Country:US
Mailing Address - Phone:586-939-8480
Mailing Address - Fax:586-939-8487
Practice Address - Street 1:38731 MOUND ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3210
Practice Address - Country:US
Practice Address - Phone:586-939-8480
Practice Address - Fax:586-939-8487
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101009323207RE0101X, 207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H26347OtherBCBS
MI2754260/11Medicaid
MI0H26347OtherBCBS
MI0H26347Medicare ID - Type Unspecified