Individual
SUSAN MANZ LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2424 S 90TH ST, SUITE 500, WEST ALLIS, WI 53227-2455
(414) 328-8600
(414) 328-8686
Mailing address
19475 W NORTH AVE, SUITE 201, BROOKFIELD, WI 53045-4199
(262) 780-4400
(262) 780-4425
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31194020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31609800
—
WI
Enumeration date
10/25/2005
Last updated
01/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us