Individual
LARRY A POEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1310 WISCONSIN AVE, SUITE 301, GRAND HAVEN, MI 49417-2472
(616) 847-1860
(616) 844-4670
Mailing address
1310 WISCONSIN AVE, SUITE 101, GRAND HAVEN, MI 49417-2472
(616) 844-4528
(616) 847-5608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006558
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108017
—
MA
05
—
3192057
—
MA
Enumeration date
06/01/2005
Last updated
02/04/2016
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