Individual
GREGORIA B LANDICHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 WABASH, SUITE #202, MICHIGAN CITY, IN 46360
(219) 877-1965
(219) 877-1066
Mailing address
1040 SIERRA DR, STE 400, GREENWOOD, IN 46143-7240
(317) 528-4248
(317) 865-8314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01043004A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046900
—
IN
Enumeration date
09/19/2005
Last updated
11/23/2011
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