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1255440178
KIM C LANDIS
SOUTHFIELD, MI
NPI
1255440178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0000X Family Medicine, Adolescent Medicine
(Licence: MI 4301052674)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. KIM C LANDIS MD
24261 GREENFIELD RD
SOUTHFIELD, MI 48075-3117
Phone number: 248-569-8151
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Mailing Address
Dr. KIM C LANDIS MD
9319 HARBOR COVE CIR APT # 112
WHITMORE LAKE, MI 48189-8216
Phone number: 248-544-5606
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