DR. Eric Lee Larson, MD

NPI #1063491652 in Grand Rapids, Michigan

Provider Information

NPI Number: 1063491652
Entity Type: Individual
Name: DR. Eric Lee Larson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Jan 11, 2006
Last Updated: Jul 3, 2014

Practice Location

Address: 3333 EVERGREEN DR NE
City: Grand Rapids
State: Michigan
ZIP Code: 49525-9756
Phone: (616) 364-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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