Mary P Lange
EXECUTIVE HEALTH PC


Address: 1213 Mason St, Dearborn, MI 48124-2841
Phone: 3132782800

Mary P Lange (NPI# 1740394055, PAC ID# 7618074139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1740394055
PAC ID by PECOS 7618074139
Professional Enrollment ID I20070517000625
Full Name Mary P Lange
Organization Legal Name EXECUTIVE HEALTH PC
Address 1213 Mason St
Dearborn
MI 48124-2841
Phone Number 3132782800
Gender F
Credential NP
Graduation Year 2001
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1456672088
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230020 BEAUMONT HOSPITAL - DEARBORN

Other Locations

Address Phone Organization
1213 Mason St, Dearborn, MI 48124-2841 3132782800 EXECUTIVE HEALTH PC

Organization Information

Organization Legal Name EXECUTIVE HEALTH PC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Sadiq H Rizvi Internal Medicine Executive Health PC 1213 Mason St, Dearborn, MI 48124-2841
Shehnaz Rizvi Internal Medicine Executive Health PC 1213 Mason St, Dearborn, MI 48124-2841
Massud T Almassudi Internal Medicine Executive Health PC 1213 Mason St, Dearborn, MI 48124-2841

Office Location

Street Address 1213 MASON ST
City DEARBORN
State MI
Zip 48124-2841

Physicians in the same location

Name Specialty Organization Address
Wassim M Younes Internal Medicine Wassim Younes Md Plc 1213 Mason St, Dearborn, MI 48124-2841
Sadiq H Rizvi Internal Medicine Executive Health PC 1213 Mason St, Dearborn, MI 48124-2841
Shehnaz Rizvi Internal Medicine Executive Health PC 1213 Mason St, Dearborn, MI 48124-2841
Massud T Almassudi Internal Medicine Executive Health PC 1213 Mason St, Dearborn, MI 48124-2841

Physicians in the same zip code

Name Specialty Organization Address
Bridget A Kujansuu Clinical Social Worker Pastoral Counseling and Consultation Service 24110 Cherry Hill St, Dearborn, MI 48124-1356
Ruby J Bowens Clinical Social Worker Pastoral Counseling and Consultation Service 24110 Cherry Hill St, Dearborn, MI 48124-1356
Beverly J Loudon Clinical Social Worker Pastoral Counseling and Consultation Service 24110 Cherry Hill St, Dearborn, MI 48124-1356
Stelian Marinescu Cardiovascular Disease (cardiology) 23100 Cherry Hill St, Suite 7, Dearborn, MI 48124-1449
Helene C Dombrowski Dermatology 23100 Cherry Hill St, Suite 10, Dearborn, MI 48124-1449
Cecelia F Hissong Family Medicine 23100 Cherry Hill St, Suite 8, Dearborn, MI 48124-1449
Hussein T Saad Family Practice 23100 Cherry Hill St, Suite 9, Dearborn, MI 48124-1449
William J Peters Podiatry 23100 Cherry Hill St, Suite 5, Dearborn, MI 48124-1493
Nouha Alammar Otolaryngology Spartan Surgical Associates Plc 24530 Michigan Ave, Dearborn, MI 48124-1700
Ramsey Hammoud Orthopedic Surgery Spartan Surgical Associates Plc 24530 Michigan Ave, Dearborn, MI 48124-1700
Find all physicians in zip 48124

Competitor

Search similar physicians

City DEARBORN
Zip Code 48124
Specialty NURSE PRACTITIONER
City + Specialty DEARBORN + NURSE PRACTITIONER

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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