Individual
DR. LARRY BRIAN FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8800 BLACKHAWK DR, LAKESIDE, MI 49116-9746
(269) 921-0531
Mailing address
PO BOX 57, LAKESIDE, MI 49116-0057
(269) 921-0531
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301081108
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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