Individual
PATRICK ALBERTO LARREATEGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34008069L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0240840
MEDICARE GROUP #
OH
05
—
2500761
—
OH
01
—
MI9912194
MEDICARE GROUP #
—
Enumeration date
08/12/2005
Last updated
04/25/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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