Individual
MEREDITH MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12188B N MERIDIAN ST STE 280, CARMEL, IN 46032-4900
(317) 705-4550
(317) 705-4559
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082571A
IN
Other
Enumeration date
04/07/2016
Last updated
10/11/2023
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