Dr. Nicholas Lange, MD
Dr. Nicholas Lange, MD is a Diagnostic Radiology in Roseville, Minnesota. Graduated from New York University School of Medicine in 2004, 22 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Virginia.
- Years since qualifying
- 22
- Trained at
- New York University School of Medicine
- Licensed in
- MN, VA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2355 Highway 36 W Ste 100Roseville, MN 55113-3905
Phone: (651) 292-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 250 Thompson St., St. Paul, MN 55102 — (651) 292-2000
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 65880 (MN) |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X · Licence 0101239993 (VA) |
Record details
| NPI number | 1285650952 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2006 |
| Last updated in NPPES | July 19, 2021 |
| Certification date | July 19, 2021 |
| Mailing address | 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2004 (22 years in practice) |
| Group practice | Fairview Clinics — 806 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 26 on file with Medicare |