Provider Demographics
NPI:1699711457
Name:LANGLAND, JAMES T (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:LANGLAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 741
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-624-8984
Mailing Address - Fax:612-624-3189
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-624-9499
Practice Address - Fax:612-625-3906
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2014-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN24808207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN821867600Medicaid
MNMN100013OtherLHS/BANNERHEALTH #
MN0402567OtherMEDICA #
MN621653OtherAMERICA'S PPO/ARAZ #
MN7008OtherSIOUX VALLEY #
MN09362LAOtherMNBS #
MNDA9021015702OtherPREFERRED ONE #
MN142030OtherUCARE #
MNHP19535OtherHEALTHPARTNERS #
MN10240OtherNDBS #
MN17750Medicaid
MN7008OtherSIOUX VALLEY #
MN821867600Medicaid
MN17750Medicaid