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Dr. Larry Joe Segroves, DO
General Practice Physician in Fenton, Michigan
NPI 1164715298

Larry Joe Segroves is a General Practice Physician based in Fenton, MI. Larry Joe Segroves practices in Fenton, MI and has the professional credentials of DO. The NPI Number for Larry Joe Segroves is 1164715298 and holds a License No. 5101006595 (Michigan).

The current practice location address for Larry Joe Segroves is 12223 Windchill Way, Fenton, MI and can be reached out via phone at 810-629-9828.

Location: 12223 Windchill Way, Fenton, MI, 48430-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164715298
Provider Name
Larry Joe Segroves
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
12223 Windchill Way, Fenton, MI, 48430-3510
Phone Number
810-629-9828
Fax Number
Provider Enumeration Date
05/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12223 Windchill Way
City
Fenton
State
Michigan
Zip
48430-3510
Phone Number
810-629-9828
Fax Number
person
Provider Business Mailing Address Details
Address
12223 Windchill Way
City
Fenton
State
Michigan
Zip
48430-3510
Phone Number
810-629-9828
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
5101006595 (Michigan)
Definition
Definition to come...
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