Individual
MICHAEL E M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1194
(715) 358-1188
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2224
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39129100
—
WI
Enumeration date
09/01/2006
Last updated
10/02/2025
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