Larry Gideon, M D

NPI #1255533386 in Memphis, Michigan

Provider Information

NPI Number: 1255533386
Entity Type: Organization
Organization Name: Larry Gideon, M D
Primary Specialty: Family Medicine
Enumeration Date: Jun 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 609 BUNNELL M 19
City: Memphis
State: Michigan
ZIP Code: 48041
Phone: (810) 392-2192

Authorized Official

Name: LARRY GIDEON, M D
Title: PRESIDENT
Phone: (810) 392-2192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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