Individual
LANDON BRUCE BLUEMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHEYENNE REGIONAL MEDICAL CENTER, 214 E 23RD ST, CHEYENNE, WY 82001
(801) 589-2016
(307) 633-7676
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(801) 589-2016
(307) 633-7676
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
TL5729
WY
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/28/2015
Last updated
06/21/2019
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