Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 105964 | AK |
N | 207X00000X | Orthopaedic Surgeon | MT196779 | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 105964 | AK |
NPI | 1063709673 |
---|---|
Provider Name | Dann J Laudermilch |
First Address | Anchorage, AK 99508-5234 |
Second Address | Anchorage, AK 99508-5234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2011 |
Last Update Date | 14/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1658051 | (05) | AK |