Individual
LARRY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 876-7921
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R066566
MD
Other
Enumeration date
07/04/2006
Last updated
02/18/2008
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