Individual
DR. LANDON M HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 101, FORT WAYNE, IN 46845-1707
(260) 425-6650
(260) 425-6649
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
02005041A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
02/25/2013
Last updated
10/10/2022
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