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Individual
JEFFREY D. LARSON
Active
Individual
JEFFREY D. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
50808-20
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
50808-20
WI
Other
Enumeration date
06/22/2006
Last updated
01/06/2026
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