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Individual

DR. VIKRANT LAXMAN LANDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 W LOCUST ST, STE 102, STILWELL, OK 74960-3275
(918) 696-4065
(918) 696-5971
Mailing address
1401 W LOCUST ST, STE 102, STILWELL, OK 74960-3275
(918) 696-4065
(918) 696-5971

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2004021303
ZZ
207X00000X
Orthopaedic Surgery Physician
30871
AL
207X00000X
Orthopaedic Surgery Physician
Primary
31016
OK
207X00000X
Orthopaedic Surgery Physician
P91524
NY

Other

Enumeration date
10/10/2011
Last updated
10/14/2015
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