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Individual

LARRY SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6698 TORYBROOKE CIR, WEST BLOOMFIELD, MI 48323-2161
(248) 683-9280
Mailing address
6698 TORYBROOKE CIR, WEST BLOOMFIELD, MI 48323-2161
(248) 683-9280

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS9795
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H231320
BCBSM GROUP
MI
05
1881637957
MI
05
277776200
FL
Enumeration date
06/14/2006
Last updated
12/04/2015
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