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

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

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