Individual
DR. LARRY JOE SEGROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12223 WINDCHILL WAY, FENTON, MI 48430-3510
(810) 629-9828
Mailing address
12223 WINDCHILL WAY, FENTON, MI 48430-3510
(810) 629-9828
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101006595
MI
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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