Individual
MR. LARRY ARNOLD BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2929 BURLINGAME S.W., WYOMING, MI 49519
(616) 956-8333
(616) 940-5820
Mailing address
2929 BURLINGAME S.W., WYOMING, MI 49519
(616) 956-8333
(616) 940-5820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5601001187
—
MI
Enumeration date
08/24/2006
Last updated
09/10/2015
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