Larry L Kestin

NPI 1073572434 - Radiology - 2085R0001X

NPI Details
NPI 1073572434
Gender Male
Enumeration Date 03/22/2006
Last Updated 10/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
70 FULTON ST
PONTIAC MI, 48341-2755, US
Phone (248) 338-0300
Fax (248) 338-0663
Business Location
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS FL, 33907-1412, US
Phone (239) 931-7342
Fax (239) 931-7385
Toxanomy
Taxonomy Code 2085R0001X
License State Michigan
License Number 4301065377
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According to our database, Larry L Kestin NPI is 1073572434, taxonomy code is 2085R0001X and license number is 4301065377, license state is located at Michigan. Larry L Kestin physically located at 70 Fulton St, Pontiac MI, 48341-2755. NPI Number Larry L Kestin has the Individual type.

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1073572434 NPI number is provided on an as is basis without warranty of any kind. 1073572434 is maintained by the National Plan & Provider Enumeration System. The contents of Larry L Kestin are for informational purposes only.