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Individual

DR. KIM C LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24261 GREENFIELD RD, SOUTHFIELD, MI 48075-3117
(248) 569-8151
Mailing address
9319 HARBOR COVE CIR, APT # 112, WHITMORE LAKE, MI 48189-8216
(248) 544-5606

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
4301052674
MI

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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