David E. Larson, PA-C

Physician Assistant · Minocqua, WI

Individual Active NPI

NPI number 1245395086

Practice location

9601 Townline Rd
Minocqua, WI 54548-9099
Phone
(715) 358-1000

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NPI record

NPI
1245395086
Entity type
Individual (Type 1)
Enumeration date
December 22, 2006
Last updated
June 7, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 34 WI
Medical Physician Assistant 363AM0700X 1077 AZ
Medical Physician Assistant 363AM0700X 028 WI

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5511

About David Larson

David E. Larson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 9601 Townline Rd, Minocqua, WI 54548-9099. The NPI number 1245395086 was assigned on December 22, 2006 and the record was last updated on June 7, 2012.

David Larson lists 3 licenses in the registry: #34 (WI) for Physician Assistant; #1077 (AZ) for Medical Physician Assistant; #028 (WI) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David E. Larson, PA-C?

The NPI number is 1245395086.

What is the phone number of David Larson?

The phone number listed for the practice location is (715) 358-1000.

Where is David Larson located?

9601 Townline Rd, Minocqua, WI 54548-9099.

What is the taxonomy code for David Larson?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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