Jennifer P Larson MD

NPI 1053301051 - Family Medicine - 207Q00000X

NPI Details
NPI 1053301051
Gender Female
Enumeration Date 10/21/2005
Last Updated 08/05/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
8641 W GRAND RIVER AVE
SUITE 4
BRIGHTON MI, 48116-4353, US
Phone (810) 225-0900
Fax (810) 225-0909
Business Location
8641 W GRAND RIVER AVE
SUITE 4
BRIGHTON MI, 48116-4353, US
Phone (810) 225-0900
Fax (810) 225-0909
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number MA229851
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According to our database, Dr. Jennifer P Larson MD NPI is 1053301051, taxonomy code is 207Q00000X and license number is MA229851, license state is located at Massachusetts. Jennifer P Larson MD physically located at 8641 W Grand River Ave, Brighton MI, 48116-4353. NPI Number Jennifer P Larson MD has the Individual type.

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1053301051 NPI number is provided on an as is basis without warranty of any kind. 1053301051 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer P Larson MD are for informational purposes only.