Individual provider · Type 1 NPI
Bruce L. Larva, MD
General Practice Physician · St. Joseph, MI
NPI number
1720398563
Active
Practice location
3434 Celina Ave
St. Joseph, MI 49085-3711
Mailing address
1901 Niles Ave, Suite 101
St. Joseph, MI 49085-1615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4301038611 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in St. Joseph
About NPI 1720398563
Bruce L. Larva, MD's National Provider Identifier is 1720398563, issued on Oct 14, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Joseph, MI. The record was last updated on Oct 14, 2010.