Hayden Larson, | |
5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | |
(616) 532-3710 | |
Not Available |
Full Name | Hayden Larson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 5500 Clyde Park Ave Sw, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063998854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005146 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Hayden Larson, 7767 Austinridge Dr Se, Caledonia, MI 49316-8915 Ph: (616) 826-2243 | Hayden Larson, 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 Ph: (616) 532-3710 |
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