Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERONE THEODORE LANDSTROM, M.D.
ActiveJERONE THEODORE LANDSTROM, M.D. is a Surgery of the Hand healthcare provider located in TAMUNING, Guam. NPI 1255407953 is currently active in the NPPES registry. Verify at CMS.
Surgery of the Hand · TAMUNING, GU
Registration Details
- NPI Number
- 1255407953
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2006 (19.723599770614 yrs)
- Last Updated
- Apr 27, 2020
- Licenses
-
M-958 (GU)J9150 (TX)MD9588 (HI)M00958 (GU)
Practice Information
- Address
-
633 GOV CARLOS CAMACHO ROADSUITE 104 GUAM MEDICAL PLAZATAMUNING, GU, 96913Browse GU providers · Browse ZIP 96913
- Phone
- 6716464263
- Fax
- 6716491019
- Primary Specialty
-
Surgery of the Hand
2086S0105X
- Additional Specialty
- Surgery of the Hand
- Additional Specialty
- Surgery of the Hand
- Additional Specialty
- Surgery of the Hand
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.