MEDICARE: DR. LARRY H WEXLER D.P.M.

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
1	213E00000X	Podiatrist	0940	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4699590001	OTHER	MI	MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	OF32236	OTHER	MI	BC/BS OF MICHIGAN DME
4	5631568	OTHER	MI	BLUE CROSS BLUE SHIELD OF MICHIGAN

General Provider Information

NPI Number	:	1861429524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY H WEXLER D.P.M.

Provider Business Mailing Address
First Line	:	33566 W 8 MILE RD
Second Line	:	SUITE C
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-5271
Country	:	US
Telephone Number	:	248-476-5288
Fax Number	:

Provider Business Practice Location Address
First Line	:	33566 W 8 MILE RD
Second Line	:	SUITE C
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-5271
Country	:	US
Telephone Number	:	248-476-5288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	02/19/2009

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Directions to “ DR. LARRY H WEXLER D.P.M.” Practice Location

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