Individual
JEFFREY LANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 CONTINENTAL DR, NEWARK, DE 19713-4317
(302) 709-4504
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00392
DE
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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