Individual provider · Type 1 NPI

Larry D. Alexander, P.A.

Surgical Physician Assistant · Traverse City, MI

NPI number 1629092424 Active

Practice location

1221 Sixth St Ste 300
Traverse City, MI 49684-2360

Call (231) 935-2400 Map

Fax (231) 392-2424

Mailing address

4045 W Royal Dr
Traverse City, MI 49684-8965

Other practice locations

  • 4045 W Royal Dr, Traverse City, MI 49684-8965 · (231) 935-0900

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601004425 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1629092424

Larry D. Alexander, P.A.'s National Provider Identifier is 1629092424, issued on Jul 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Traverse City, MI. The record was last updated on Jul 29, 2019.