DR. LARRY ERNEST PORZSOLT


Address: 300 W Main St, Stockbridge, MI 49285-0217
Phone: 5178517255

DR. LARRY ERNEST PORZSOLT (NPI# 1881737617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881737617
Entity Type Individual
Full Name DR. LARRY ERNEST PORZSOLT
Credential DO
Practice Address 300 W Main St
Stockbridge
MI 49285-0217
Mailing Address Po Box 217
Stockbridge
MI 49285-0217
Practice Telephone 5178517255
Practice Fax Number 5178514397
Mailing Telephone 5178517255
Mailing Fax Number 5178514397
Enumeration Date 2007-02-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice LP005934 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1000506 05

Office Location

Street Address 300 W MAIN ST
City STOCKBRIDGE
State MI
Zip Code 49285-0217

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1447335690 Chelsea Professional Services Specialist 4525 S M 52, Stockbridge, MI 49285-9465 2006-10-26
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City STOCKBRIDGE
Zip Code 49285

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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