Organization
LARRY N. MAGID, DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN BURTON (BILLING MANAGER)
(248) 471-6593
Entity
Organization
Contact information
Practice address
27609 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-1833
(586) 294-7070
(586) 294-9481
Mailing address
27609 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-1833
(586) 274-7070
(586) 274-9481
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131092965
—
MI
01
—
480E014040
BCBSM
MI
Enumeration date
10/09/2006
Last updated
09/21/2009
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