| Mr Larry R Nishon, DPM | |
|
2158 Commons Pkwy, Okemos, MI 48864-3986 | |
| (517) 349-6855 | |
| (517) 349-7158 |
| Full Name | Mr Larry R Nishon |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot Surgery |
| Location | 2158 Commons Pkwy, Okemos, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245239631 | NPI | - | NPPES |
| 1710897 | Medicaid | MI | |
| 4814430001 | Other | MI | DMERC |
| 2700008 | Other | MI | PHP |
| 4814430002 | Other | MI | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | LN001085 (Michigan) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | LN001085 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry R Nishon, DPM 2158 Commons Pkwy, Okemos, MI 48864-3986 Ph: (517) 349-6855 | Mr Larry R Nishon, DPM 2158 Commons Pkwy, Okemos, MI 48864-3986 Ph: (517) 349-6855 |
Capital Foot & Ankle Centers, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864 Phone: 517-853-8951 Fax: 517-913-5996 | |
Podiatry Plus Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2158 Commons Pkwy, Okemos, MI 48864 Phone: 517-349-6855 | |
Dr. Joseph Vincent Gonzalez, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2270 Jolly Oak Rd, Ste 1, Okemos, MI 48864 Phone: 517-853-8951 Fax: 517-913-5996 | |
Mr. Jay O Meyer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2158 Commons Pkwy, Okemos, MI 48864 Phone: 517-349-6855 Fax: 517-349-7158 |