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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730182270 | NPPES |
Minnesota | MEDICAID | 943224800 |
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