Individual
MICHAEL SCOTT LARRABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5332 ZACHARY DR, MOUNT PLEASANT, WI 53403-9752
(262) 498-5911
Mailing address
5332 ZACHARY DR, MOUNT PLEASANT, WI 53403-9752
(262) 498-5911
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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