MEDICARE: JAMES H. LANGENKAMP, M.D., S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164724407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES H. LANGENKAMP, M.D., S.C.

Provider Business Mailing Address
First Line	:	575 W RIVER WOODS PKWY
Second Line	:	SUITE 204
City	:	GLENDALE
State	:	WI
Zip	:	53212-1003
Country	:	US
Telephone Number	:	414-332-9898
Fax Number	:	414-332-6849

Provider Business Practice Location Address
First Line	:	575 W RIVER WOODS PKWY
Second Line	:	SUITE 204
City	:	GLENDALE
State	:	WI
Zip	:	53212-1003
Country	:	US
Telephone Number	:	414-332-9898
Fax Number	:	414-332-6849

Authorized Official
Title or Position	:	ORTHOPAEDIC SURGEON
Name	:	DR. JAMES HALBERG LANGENKAMP
Credential	:	M.D.
Telephone Number	:	414-332-9898

Provider Enumeration Date	:	11/18/2010
Last Update Date	:	11/18/2010

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