Individual
TIMOTHY MICHAEL LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5855 BREMO RD STE 207, RICHMOND, VA 23226-1922
(804) 893-8656
(804) 287-7018
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101279273
VA
Other
Enumeration date
04/23/2019
Last updated
10/12/2023
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