DAVID WILLIAM LAROSE MD NPI 1730140096

NPI Information

  • NPI: 1730140096
  • Provider Name: DAVID WILLIAM LAROSE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 20225 E 9 MILE RD
    SUITE A
    SAINT CLAIR SHORES, MI
    ZIP 48080
  • Phone: (586) 779-8700

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NPI Details

David William Larose, MD is a family medicine in Saint Clair Shores, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. David William Larose, MD NPI is 1730140096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20225 E 9 MILE RD
SUITE A
SAINT CLAIR SHORES, MI
ZIP 48080-775
Phone: (586) 779-8700
Fax: (586) 498-1425

The enumeration date for this NPI number is 3/28/2006 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301046175MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI3971MEDICARE PINMICHIGAN
2B43908MEDICARE UPINMICHIGAN
3N40170009MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
44373511MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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