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Individual

MR. LARRY R NISHON

Active
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Individual

MR. LARRY R NISHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
LN001085
MI
213ES0131X
Foot Surgery Podiatrist
Primary
LN001085
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710897
MI
01
2700008
PHP
MI
01
4814430001
DMERC
MI
01
4814430002
DMERC
MI
Enumeration date
07/18/2005
Last updated
07/13/2026
Update your record

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