Larry Arnold Brewer in Wyoming - Physician Assistant
Larry Arnold Brewer - NPI 1750498721
Larry Arnold Brewer is a Physician Assistant in Wyoming, Michigan. Larry Arnold Brewer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry Arnold Brewer is 1750498721. The last update date is 2015-09-10.
Larry Arnold Brewer's current location address is 2929 Burlingame S.w., Wyoming, Michigan. You can contact this provider via phone number 6169568333 and fax number 6169405820. The mailing address for Larry Arnold Brewer is 2929 Burlingame S.w., Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Arnold Brewer |
|---|---|
| Address | 2929 Burlingame S.w., Wyoming, Michigan |
| Phone Number | 6169568333 |
| Fax Number | 6169405820 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750498721 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2015-09-10 |
Provider Mailing Address Detail
| Address | 2929 Burlingame S.w. |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 49519 |
| Phone Number | 6169568333 |
| Fax Number | 6169405820 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601001187 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601001187 | MI | -- |
Post Comment/ Review Below
What is the Larry Arnold Brewer's unique identification number?
The Larry Arnold Brewer has been assigned the NPI (National Provider Identifier) Number 1750498721 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Larry Arnold Brewer is physically located?
The Larry Arnold Brewer is situated at the following address: 2929 Burlingame S.W., Wyoming, MI 49519.
What is Larry Arnold Brewer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Arnold Brewer is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750498721 to Larry Arnold Brewer?
The Centers for Medicare & Medicaid Services originally issued the 1750498721 to Larry Arnold Brewer on 2006-08-24.
As of what date was the information pertaining to Larry Arnold Brewer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Arnold Brewer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-10.
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