Individual
ANDREA LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2144 E PARIS AVE SE # 200, GRAND RAPIDS, MI 49546-6111
(616) 685-2100
(616) 685-2111
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101021139
MI
Other
Enumeration date
05/21/2014
Last updated
12/16/2021
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