Provider Demographics
NPI:1184711285
Name:LANGOWSKI, JULIA MAE (MSN)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:MAE
Last Name:LANGOWSKI
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1066 STONY POINTE BLVD
Mailing Address - Street 2:5214 PORT AUSTIN RD.
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1788
Mailing Address - Country:US
Mailing Address - Phone:248-652-4473
Mailing Address - Fax:
Practice Address - Street 1:38770 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-6620
Practice Address - Country:US
Practice Address - Phone:586-412-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704182737363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health