Eric Lee Larson MD

NPI 1063491652 - Anesthesiology - 207L00000X

NPI Details
NPI 1063491652
Gender Male
Enumeration Date 01/11/2006
Last Updated 07/03/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
3333 EVERGREEN DR NE
GRAND RAPIDS MI, 49525-9756, US
Phone (616) 364-4200
Fax (616) 364-7347
Business Location
3333 EVERGREEN DR NE
GRAND RAPIDS MI, 49525-9756, US
Phone (616) 364-4200
Fax (616) 364-7347
Toxanomy
Taxonomy Code 207L00000X
License State Michigan
License Number 4301083192
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According to our database, Dr. Eric Lee Larson MD NPI is 1063491652, taxonomy code is 207L00000X and license number is 4301083192, license state is located at Michigan. Eric Lee Larson MD physically located at 3333 Evergreen Dr Ne, Grand Rapids MI, 49525-9756. NPI Number Eric Lee Larson MD has the Individual type.

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1063491652 NPI number is provided on an as is basis without warranty of any kind. 1063491652 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Lee Larson MD are for informational purposes only.