Provider Demographics
NPI:1922149525
Name:LANGER, ANGELA MICHELLE
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MICHELLE
Last Name:LANGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 W 32ND ST STE 301
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1639
Mailing Address - Country:US
Mailing Address - Phone:417-347-2525
Mailing Address - Fax:417-347-8991
Practice Address - Street 1:1532 W 32ND ST STE 301
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1639
Practice Address - Country:US
Practice Address - Phone:417-347-2525
Practice Address - Fax:417-347-8991
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007012294207V00000X
OK23604207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology