National Provider Identifier Database

NICHOLAS LANGE, MD – NPI #1285650952
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

NICHOLAS LANGE, MD
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN55113-3905
Phone: 651-292-0000
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Military Health Care Provider 171000000X

* Indicates primary specialty

NPI Profile & details for NICHOLAS LANGE

NPI Number 1285650952
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 07/19/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 65880
  • VA License #: 0101239993
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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