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Contact Information

LANDON M HARRISON, DO
11123 PARKVIEW PLAZA DR STE 101
FORT WAYNE, IN46845-1707
 Phone: 260-425-6650
 Fax: 260-425-6649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LANDON M HARRISON · (Female)

NPI Number 1407196611
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/25/2013
Last updated 10/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02005041A
Hospital affiliation(s)
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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