Larry T Micon, MD

NPI #1700822772 in Fishers, Indiana

Provider Information

NPI Number: 1700822772
Entity Type: Individual
Name: Larry T Micon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jun 20, 2006
Last Updated: May 3, 2018

Practice Location

Address: 13914 SOUTHEASTERN PKWY STE 202
City: Fishers
State: Indiana
ZIP Code: 46037-7125
Phone: (800) 477-0233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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