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Individual
DR. LARRY H WEXLER
Active
Individual
DR. LARRY H WEXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0940
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110905
—
MI
01
—
4699590001
MEDICARE DME
MI
01
—
5631568
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
OF32236
BC/BS OF MICHIGAN DME
MI
Enumeration date
06/27/2006
Last updated
02/19/2009
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