Landrum, Michael Leroy

Landrum, Michael Leroy is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Landrum, Michael Leroy can be contacted via phone (920) 433-3456.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 433-3456
Fax: (920) 433-3469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01054143A Indiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 56939 Wisconsin
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301503113 Michigan

Profile Details

NPI number 1932280104
LBN Legal business name Landrum, Michael Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932280104 NPPES
Other ABIM-MOC AMERICAN BOARD OF INTERNAL MEDICINE/INFECTIOUS DISEASE

Popular Providers