Individual
MEDLEY LARKIN
Active
Individual
MEDLEY LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5101007897
MI
208600000X
Surgery Physician
5101007897
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110010368
RR MEDICARE
MI
05
—
2931936
—
MI
Enumeration date
12/27/2005
Last updated
02/23/2023
Update your record
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