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Individual

DR. JILL MARIE LARKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3737 LANSING RD, PERRY, MI 48872-9773
(517) 625-6911
(517) 625-6962
Mailing address
3737 LANSING RD, PERRY, MI 48872-9773
(517) 625-6911
(517) 625-6962

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301061402
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
434178810
MI
Enumeration date
09/07/2005
Last updated
11/28/2012
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