Individual
MICHAEL EDWARD LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SENTARA CIR STE 350, WILLIAMSBURG, VA 23188-5716
(757) 736-7250
(757) 510-9122
Mailing address
400 SENTARA CIR STE 350, WILLIAMSBURG, VA 23188-5716
(757) 736-7250
(757) 510-9122
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101244851
VA
2086S0129X
Vascular Surgery Physician
01056946A
IN
Other
Enumeration date
10/04/2006
Last updated
04/22/2024
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