Individual
DR. LARRY MARVIN VANDERPLAS
Active
Individual
DR. LARRY MARVIN VANDERPLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
LV045322
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0831635
PHP
MI
05
—
3158190
—
MI
05
—
383224959101
—
MI
01
—
LV045322
STATE LICENSE NUMBER
MI
Enumeration date
12/27/2006
Last updated
07/09/2007
Update your record
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