Larry Custer, R.PH

NPI 1730330341 · on the registry since 2008 · sole proprietor

Practice

Address: 1925 Breton Rd Se
Suite 202
Grand Rapids, MI 49506
Phone: (616) 252-4757
Fax: (616) 252-0724
Organisation at this address: Ptsportspro, Pllc
Metropolitan Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1835P0018X
1835P0018X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan