Individual
GEORGE HAROLD LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 CAMPUS DR STE 335, PLYMOUTH, MN 55441-2679
(952) 562-5940
(952) 562-5949
Mailing address
2805 CAMPUS DR STE 335, PLYMOUTH, MN 55441-2679
(952) 562-5940
(952) 562-5949
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
34623
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943224800
—
MN
Enumeration date
05/29/2005
Last updated
03/11/2024
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