Individual
DR. IVAN R LANDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
557 SEMINOLE RD, NORTON SHORES, MI 49444-3719
(231) 722-7510
(231) 722-7513
Mailing address
557 SEMINOLE RD, NORTON SHORES, MI 49444-3719
(231) 722-7510
(231) 722-7513
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
048973
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2776688
—
MI
Enumeration date
01/25/2006
Last updated
01/08/2013
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