Larry E Anderson PA-C

NPI 1023057056 - Physician Assistant - 363A00000X

NPI Details
NPI 1023057056
Gender Male
Enumeration Date 06/05/2006
Last Updated 08/31/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2840 CROOKS RD
SUITE 111
ROCHESTER HILLS MI, 48309-3619, US
Phone (248) 852-9290
Fax (248) 852-0305
Business Location
2840 CROOKS RD
SUITE 111
ROCHESTER HILLS MI, 48309-3619, US
Phone (248) 852-9290
Fax (248) 852-0305
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601001421
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According to our database, Larry E Anderson PA-C NPI is 1023057056, taxonomy code is 363A00000X and license number is 5601001421, license state is located at Michigan. Larry E Anderson PA-C physically located at 2840 Crooks Rd, Rochester Hills MI, 48309-3619. NPI Number Larry E Anderson PA-C has the Individual type.

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1023057056 NPI number is provided on an as is basis without warranty of any kind. 1023057056 is maintained by the National Plan & Provider Enumeration System. The contents of Larry E Anderson PA-C are for informational purposes only.