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NPI Code Detail

MEDICARE: DAVID A LARKIN DO

MEDICARE: DAVID A LARKIN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician5101011141MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DL011141OTHERBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780683177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A LARKIN DO
Provider Business Mailing Address
First Line : PO BOX 2347
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49501-2347
Country : US
Telephone Number : 800-968-6866
Fax Number : 616-532-7230
Provider Business Practice Location Address
First Line : 1501 W CHISHOLM ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1401
Country : US
Telephone Number : 800-968-6866
Fax Number : 616-532-7230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 04/18/2008

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