Organization
LANDIS PLASTIC SURGERY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE H LANDIS MD (M.D.)
(952) 562-5940
Entity
Organization
Contact information
Practice address
109 BUSHAWAY RD, SUITE 200, WAYZATA, MN 55391-1945
(763) 551-8985
(763) 551-4897
Mailing address
2805 CAMPUS DRIVE, SUITE 335, PLYMOUTH, MN 55441
(952) 562-5940
(952) 562-5949
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
10/31/2016
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