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Mr. Larry Jose Diaz, MD
Cardiovascular Disease Physician in Wyoming, Michigan
NPI 1952301038

Larry Jose Diaz is a Cardiovascular Disease Physician based in Wyoming, MI and is specialized in Cardiovascular Disease. Larry Jose Diaz practices in Wyoming, MI and has the professional credentials of MD. The NPI Number for Larry Jose Diaz is 1952301038 and holds a License No. 203831 (Michigan).

The current practice location address for Larry Jose Diaz is 2122 Health Dr Sw, Wyoming, MI and can be reached out via phone at 616-252-5950 and via fax at 616-252-5956.

Location: 2122 Health Dr Sw, Wyoming, MI, 49519-9606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952301038
Provider Name
Larry Jose Diaz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2122 Health Dr Sw, Wyoming, MI, 49519-9606
Phone Number
616-252-5950
Fax Number
616-252-5956
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301097454 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2122 Health Dr Sw
City
Wyoming
State
Michigan
Zip
49519-9698
Phone Number
616-252-5950
Fax Number
616-252-5956
person
Provider Business Mailing Address Details
Address
2122 Health Dr Sw
City
Wyoming
State
Michigan
Zip
49519-9698
Phone Number
616-252-5950
Fax Number
616-252-5956
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME93966 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
203831 (Massachusetts)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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