Individual
DR. GREGG LANDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S CHAPMAN ST, CHESANING, MI 48616-1304
(989) 845-7644
Mailing address
300 S CHAPMAN ST, CHESANING, MI 48616-1304
(989) 845-7644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301068532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104426375
—
MI
Enumeration date
05/30/2006
Last updated
07/10/2008
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