Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LARRY M OJEDA
Active
Individual
LARRY M OJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036-057903
IL
208800000X
Urology Physician
Primary
28270
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10655
DEAN HEALTH PLAN
—
05
—
1265541999
—
WI
Enumeration date
08/29/2006
Last updated
10/19/2011
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