Individual
BRIAN KENNETH LANDSVERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 586-3309
(406) 522-8498
Mailing address
1125 EAST BABCOCK, BOZEMAN, MT 59715
(406) 580-7642
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8647
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097121
BLUE CROSS BLUE SHIELD
MT
05
—
0039695
—
MT
Enumeration date
10/03/2006
Last updated
03/03/2009
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