Landis, George Harold

Landis, George Harold is an individual health care provider with primary practice located at 2805 Campus Dr Ste 335 , Plymouth MN 55441-2679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Landis, George Harold can be contacted via phone (952) 562-5940.

Contact Information

Primary practice address
2805 Campus Dr Ste 335 Plymouth MN 55441-2679
Phone: (952) 562-5940
Fax: (952) 562-5949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 34623 Minnesota

Profile Details

NPI number 1730182270
LBN Legal business name Landis, George Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2005
Last updated Mar 11th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730182270 NPPES
Minnesota MEDICAID 943224800

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