Individual
LINDA M LANDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-5700
(260) 266-5920
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-7875
(260) 373-9705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641089
ANTHEM
IN
05
—
100139480
—
IN
01
—
110246019
RR MEDICARE
IN
05
—
2410902
—
OH
01
—
P00786837
R.R MEDICARE
IN
Enumeration date
08/15/2005
Last updated
09/23/2013
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