Provider Demographics
NPI:1952538332
Name:LANGER, CHRISTA (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:LANGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3955 PARKLAWN AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5660
Mailing Address - Country:US
Mailing Address - Phone:952-278-7000
Mailing Address - Fax:952-898-5914
Practice Address - Street 1:11095 VIKING DR STE 250
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7229
Practice Address - Country:US
Practice Address - Phone:952-278-7000
Practice Address - Fax:952-898-5914
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN54842208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program