Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry D Alexander, PA

Individual provider Surgical Physician Assistant · NPI 1629092424

Larry D Alexander, PA is a Physician Assistant in Traverse City, Michigan. Qualified in 2004, 22 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone: (231) 935-2400
Fax: (231) 392-2424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4045 W Royal Dr, Traverse City, MI 49684-8965 — (231) 935-0900

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601004425 (MI)

Record details

NPI number1629092424
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 29, 2019
Mailing address4045 W Royal Dr, Traverse City, MI 49684-8965

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Traverse City