MR. Larry Jose Diaz, MD

NPI #1952301038 in Wyoming, Michigan

Provider Information

NPI Number: 1952301038
Entity Type: Individual
Name: MR. Larry Jose Diaz, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jul 29, 2005
Last Updated: Dec 8, 2017

Practice Location

Address: 2122 HEALTH DR SW
City: Wyoming
State: Michigan
ZIP Code: 49519-9698
Phone: (616) 252-5950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X

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