Keith Larson is a Surgical in Detroit, Michigan. Keith Larson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Keith Larson is 1912027772. The last update date is 2007-07-08.
Keith Larson's current location address is 3901 Beaubien Chm Dept Of Cardiovascular Surgery, Detroit, Michigan. You can contact this provider via phone number 3137455538. The mailing address for Keith Larson is 3901 Beaubien Chm Dept Of Cardiovascular Surgery, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Larson |
|---|---|
| Address | 3901 Beaubien Chm Dept Of Cardiovascular Surgery, Detroit, Michigan |
| Phone Number | 3137455538 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912027772 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3901 Beaubien Chm Dept Of Cardiovascular Surgery |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48201 |
| Phone Number | 3137455538 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601002740 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique identifier code issued to Keith Larson by the Centers for Medicare & Medicaid Services (CMS)?
The Keith Larson has been assigned the NPI (National Provider Identifier) 1912027772. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Keith Larson?
The Keith Larson is situated at 3901 Beaubien Chm Dept Of Cardiovascular Surgery, in the city of Detroit, state of MI, with the zip code 48201.
What is Keith Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keith Larson is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
When did the Keith Larson receive its 1912027772?
The Keith Larson was issued its 1912027772 on 2007-03-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Keith Larson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Larson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.