Individual
DR. LARRY H WEXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
33566 W 8 MILE RD, SUITE C, FARMINGTON HILLS, MI 48335-5271
(248) 476-5288
Mailing address
33566 W 8 MILE RD, SUITE C, FARMINGTON HILLS, MI 48335-5271
(248) 476-5288
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0940
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110905
—
MI
01
—
4699590001
MEDICARE DME
MI
01
—
5631568
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
OF32236
BC/BS OF MICHIGAN DME
MI
Enumeration date
06/27/2006
Last updated
02/19/2009
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