NPI 1780767145

Larry L Pack MD PC

Organisation Orthopaedic Surgery Physician Fenton, MI

Practice location

Address: 2420 Owen Rd STE C, Fenton, MI 48430-3417
Phone: (810) 750-5800
Fax: (810) 750-5809
Mailing address: 9362 Warwick Mdws PO Box 590, Grand Blanc, MI 48439-9552

Authorised official

Name: Larry L Pack
Title: Owner
Phone: (810) 750-5800

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 4301035400 (MI)

Other Orthopaedic Surgery providers in Michigan →

Registry record

NPI: 1780767145
Entity type: Organization
NPI issued: 21 Oct 2006
Record last updated: 15 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.