Individual
MICHAEL D LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 S 3RD ST, ENID, OK 73701-5737
(580) 548-1112
(580) 548-1538
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 548-1112
(580) 548-1538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31092
OK
Other
Enumeration date
08/26/2005
Last updated
02/12/2018
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