Larry C Dittmar

Practice location

Address

250 S Lake St, East Jordan, MI 49727-9376

Phone

(231) 536-0901

Mailing address

112 W Cayuga St P.0.Box 352, Bellaire, MI 49615-8101

Registered specialties

Registry record

NPI

1336244821

Entity type

Individual

Sex (as registered)

Male

NPI issued

13 Sep 2006

Record last updated

8 Jul 2007

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.