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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY GIDEON, M D

Active Organization

LARRY GIDEON, M D is a Family Medicine organization located in MEMPHIS, Michigan. NPI 1255533386 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MEMPHIS, MI

Registration Details

NPI Number
1255533386
Provider Type
Organization
NPI Issued
Jun 1, 2007 (19.019454896308 yrs)
Last Updated
Aug 22, 2020
License
LG407549 (MI)

Practice Information

Address
609 BUNNELL M 19
MEMPHIS, MI, 48041
Browse MI providers · Browse ZIP 48041
Phone
8103922192
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.