Individual provider · Type 1 NPI

Eileen Larkin Axibal, MD

MOHS-Micrographic Surgery Physician · Grand Rapids, MI

NPI number 1154732386 Active

Practice location

1740 E Paris Ave SE
Grand Rapids, MI 49546-6204

Fax (616) 949-6571

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101X2019-00214 (NC)
MOHS-Micrographic Surgery Physician 207ND0101X82323 (SC)
Dermatology Physician 207N00000X021728 (CO)
MOHS-Micrographic Surgery Physician Primary 207ND0101X4301502472 (MI)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1154732386

Eileen Larkin Axibal, MD's National Provider Identifier is 1154732386, issued on May 9, 2014. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 10, 2024.