Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EILEEN LARKIN AXIBAL, M.D.
ActiveDR. EILEEN LARKIN AXIBAL, M.D. is a Obesity Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1154732386 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1154732386
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2014 (12.276650954762 yrs)
- Last Updated
- Jan 10, 2024
- Licenses
-
2019-00214 (NC)82323 (SC)021728 (CO)4301502472 (MI)
Practice Information
- Address
-
1740 E PARIS AVE SEGRAND RAPIDS, MI, 495466204Browse MI providers · Browse ZIP 49546
- Phone
- 6169495600
- Fax
- 6169496571
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatology
- Additional Specialty
- Obesity Medicine
Other Obesity Medicine Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN E MINER | MD | 1023008844 |
| DR. ADAM D ASARCH | M.D. | 1437380102 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.