Individual
DR. DANIEL LANDDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W OAK ST, SPARTA, WI 54656-2150
(920) 887-9272
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34940
WI
Other
Enumeration date
03/16/2006
Last updated
01/29/2016
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