Individual
DR. LARRY N MAGID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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) 294-7070
(586) 294-9481
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
LM000741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092965 TYPE 13
—
MI
01
—
480E014040
BCBSM
MI
Enumeration date
10/31/2005
Last updated
02/23/2015
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