Dr. Eileen Larkin Axibal
Dermatologist MOHS-Micrographic Surgeon
1740 E Paris Ave Se
Grand Rapids
, Michigan 49546-6204
Dr. Eileen Larkin Axibal
Dermatologist MOHS-Micrographic Surgeon
1740 E Paris Ave Se
Grand Rapids
, Michigan 49546-6204
(616) 949-6571
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eileen Larkin Axibal
- 1740 E Paris Ave Se
- Grand Rapids, MI
- Zip : 49546-6204
- Fax : (616) 949-6571
- Phone : (616) 949-5600
Second Address
- Dr. Eileen Larkin Axibal
- 1740 E Paris Ave Se
- Grand Rapids, MI
- Zip : 49546-6204
- Fax : (616) 949-6571
- Phone : (616) 949-5600
Reviews
FAQs
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Is Dr. Eileen Larkin Axibal a sole practitioner?
Is Dr. Eileen Larkin Axibal accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 021728 | CO |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 2019-00214 | NC |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 4301502472 | MI |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 82323 | SC |
National Provider Identifier
| NPI | 1154732386 |
|---|---|
| Provider Name | Dr. Eileen Larkin Axibal |
| First Address | Grand Rapids, MI 49546-6204 |
| Second Address | Grand Rapids, MI 49546-6204 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2014 |
| Last Update Date | 26/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.