Larry Bennett Medical Llc

NPI 1093896029 - Internal Medicine - 207R00000X

NPI Details
NPI 1093896029
Enumeration Date 10/18/2006
Last Updated 02/23/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY M LARRY
Position OWNER
Phone (989) 773-4433
Fax (989) 772-9522
Practice Location
217 W BROADWAY ST
MT PLEASANT MI, 48858-2576, US
Phone (989) 773-4433
Fax (989) 772-9522
Business Location
217 W BROADWAY ST
MT PLEASANT MI, 48858-2576, US
Phone (989) 773-4433
Fax (989) 772-9522
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Larry Bennett Medical Llc NPI is 1093896029, taxonomy code is 207R00000X Larry Bennett Medical Llc physically located at 217 W Broadway St, Mt Pleasant MI, 48858-2576. NPI Number 1033115704 has the healthcare provider type.

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1093896029 NPI number is provided on an as is basis without warranty of any kind. 1093896029 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Bennett Medical Llc are for informational purposes only.