Doctor Name: | DR. CHERYL L LANGO-MADER |
NPI Number: | 1659329886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 34-008068 |
Business Practice Address: | 7689 Sagamore Hills Blvd Sagamore Hills, OH - 440672960 |
Business Phone Number: | 3304678101 |
Business Fax Number: | 3304683948 |
Mailing Address: | 7689 Sagamore Hills Blvd, SAGAMORE HILLS |
State: | OH |
Postal Code: | 440672960 |
Phone Number: | 3304678101 |
Fax Number: | 3304683948 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34-008068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |