Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME91555 | FL |
N | 207VX0201X | Gynecologic Oncologist | 0435384 | KS |
Y | 207VX0201X | Gynecologic Oncologist | 103795 | MN |
N | 207VX0201X | Gynecologic Oncologist | 2011033073 | MO |
N | 207VX0201X | Gynecologic Oncologist | 51168 | MN |
N | 207VX0201X | Gynecologic Oncologist | 61868 | WI |
NPI | 1184707572 |
---|---|
Provider Name | Carrie L Langstraat |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 18/08/2020 |