Healthcare Provider Details
I. General information
NPI: 1598607053
Provider Name (Legal Business Name): JAMES M LANDERS MD PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20825 MACK AVE
GROSSE POINTE WOODS MI
48236-1485
US
IV. Provider business mailing address
20825 MACK AVE
GROSSE POINTE WOODS MI
48236-1485
US
V. Phone/Fax
- Phone: 313-881-6982
- Fax: 313-881-7267
- Phone: 313-881-6982
- Fax: 313-881-7267
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
LANDERS
Title or Position: OWNER/ DOCTOR
Credential:
Phone: 313-881-6982