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Individual
LANDON SHEA
Active
Individual
LANDON SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
81475
WI
207Q00000X
Family Medicine Physician
81475
WI
208M00000X
Hospitalist Physician
Primary
2025011759
MO
Other
Enumeration date
06/15/2021
Last updated
09/17/2025
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