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Contact Information

NICHOLAS LANGE, MD
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN55113-3905
 Phone: 651-292-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for NICHOLAS LANGE · (Male)

NPI # 1285650952
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 07/19/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 65880
  • VA License # 0101239993
Hospital affiliation(s)
  • HEALTHEAST ST JOHN'S HOSPITAL - (Acute Care)
    1575 BEAM AVENUE
    MAPLEWOOD, MN 55109
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
  • LAKEVIEW MEMORIAL HOSPITAL - (Acute Care)
    927 WEST CHURCHILL STREET
    STILLWATER, MN 55082
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
  • ST CROIX REG MED CTR - (Critical Access)
    235 STATE STREET
    SAINT CROIX FALLS, WI 54024
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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