Individual
MR. FRED S LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 3RD AVE SE, ABERDEEN, SD 57401-5418
(605) 725-1700
(605) 725-1761
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12144
ND
207L00000X
Anesthesiology Physician
Primary
4290
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050071558
RR MEDICARE
—
05
—
10367
—
ND
Enumeration date
02/21/2006
Last updated
05/01/2014
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