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General NPI Number Information
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NPI Number | 1508725243
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Entity Type | Organization
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Legal Business Name | LANDIS CHIROPRACTIC & WELLNESS PLLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 66990 GRATIOT AVE
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City | RICHMOND
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State | MI
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Zip | 48062-1913
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Country | US
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Telephone | 586-727-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 6747 MARSH RD
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City | COTTRELLVILLE
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State | MI
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Zip | 48039-2107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DEREK LANDIS
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Credential | DC
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Telephone | 810-278-4987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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