KEITH LARSON

DETROIT, MI
NPI1912027772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601002740)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
KEITH LARSON PA-C
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-5437
Mailing Address
KEITH LARSON PA-C
3901 BEAUBIEN CHM DEPT OF CARDIOVASCULAR SURGERY
DETROIT, MI 48201
Phone number: 313-745-5538
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