Individual
MATTHEW ANTHONY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
261 N MAIN, CEDAR SPRINGS, MI 49319-8041
(616) 696-2020
(616) 696-4860
Mailing address
261 N MAIN, PO BOX 221 K, CEDAR SPRINGS, MI 49319-8041
(616) 696-2020
(616) 696-4860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005508
MI
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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