Dr. Eileen Larkin Axibal, MD
Dr. Eileen Larkin Axibal, MD is a Dermatology in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2014, 12 years ago. Practices with Dawm, PLC, an 18-clinician group and accepts Medicare assignment. Licensed in Colorado, Michigan, North Carolina and South Carolina.
- Years since qualifying
- 12
- Trained at
- Michigan State University College of Human Medicine
- Licensed in
- CO, MI, NC, SC
- In the registry since
- 2014
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1740 E Paris Ave SEGrand Rapids, MI 49546-6204
Phone: (616) 949-5600
Fax: (616) 949-6571
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 4301502472 (MI) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 2019-00214 (NC) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 82323 (SC) |
| Dermatology Physician | Taxonomy 207N00000X · Licence 021728 (CO) |
Record details
| NPI number | 1154732386 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 9, 2014 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
| Mailing address | 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Dawm, Plc — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Grand Rapids
-
Dermatology Specialists of Grand Rapids, PLLC
1000 E Paris Ave SE Ste 104, Grand Rapids, MI 49546-3680 · (586) 876-2345
-
El Tal MD PC
555 Midtowne St NE Ste 301, Grand Rapids, MI 49503-5729 · (616) 248-8864