Individual
MR. WILLIAM WAYNE LANDESS
Active
Individual
MR. WILLIAM WAYNE LANDESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704156475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20000130
PHYSICIAN'S HEALTH PLAN
MI
01
—
2070130
PHP FAMILY CARE
MI
01
—
WL156475
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/29/2006
Last updated
07/08/2007
Update your record
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