Larry T Micon is a Surgery in Fishers, Indiana. Larry T Micon practices all healthcare services and medical treatments related to Surgery. The NPI Number for Larry T Micon is 1700822772. The last update date is 2018-05-03.
Larry T Micon's current location address is 13914 Southeastern Pkwy Ste 202, Fishers, Indiana. You can contact this provider via phone number 8004770233. The mailing address for Larry T Micon is 13914 Southeastern Pkwy Ste 202, Fishers, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry T Micon |
|---|---|
| Address | 13914 Southeastern Pkwy Ste 202, Fishers, Indiana |
| Phone Number | 8004770233 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700822772 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2018-05-03 |
Provider Mailing Address Detail
| Address | 13914 Southeastern Pkwy Ste 202 |
|---|---|
| City | Fishers |
| State | Indiana (IN) |
| Post Code | 460377125 |
| Phone Number | 8004770233 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 01031976A |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100088600 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry T Micon by the Centers for Medicare & Medicaid Services?
The Larry T Micon has been assigned the NPI (National Provider Identifier) 1700822772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Larry T Micon is geographically located?
The Larry T Micon is physically situated at the following location: 13914 Southeastern Pkwy Ste 202, Fishers, IN, 460377125.
What is Larry T Micon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry T Micon's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700822772 to Larry T Micon?
The Centers for Medicare & Medicaid Services assigned the 1700822772 to Larry T Micon on 2006-06-20.
When was the Larry T Micon's information last updated?
The Larry T Micon's information was last updated on 2018-05-03.