Whalio Doctors

NPI 1154732386

Eileen Larkin Axibal, MD

Practitioner MOHS-Micrographic Surgery Physician Grand Rapids, MI

Practice location

Address
1740 E Paris Ave SE, Grand Rapids, MI 49546-6204
Phone
(616) 949-5600
Fax
(616) 949-6571

Registered specialties (4)

MOHS-Micrographic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 4301502472 (MI)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 2019-00214 (NC)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 82323 (SC)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 021728 (CO)

Registry record

NPI
1154732386
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 May 2014
Record last updated
10 Jan 2024

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.