Larry T Micon, MD Valid NPI

Individual provider · Surgery Physician · Fishers, IN

NPI

1700822772

Type

Individual (Type 1)

Primary specialty

Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208600000X

License number

01031976A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-20

Last updated

2018-05-03