Individual
KARL C LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 223-7500
(920) 223-7630
Mailing address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 223-7500
(920) 223-7630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28253
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080113126
MEDICARE RAILROAD
WI
01
—
20021
NETWORK HEALTH
WI
01
—
28253
TOUCHPOINT
WI
05
—
3076200
—
WI
01
—
710016
T19 MANAGED HEALTH SERVIC
WI
01
—
A02401
CIGNA
WI
Enumeration date
08/21/2006
Last updated
12/17/2009
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