Individual
DR. LARISA BROGLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-9540
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036132018
IL
208000000X
Pediatrics Physician
65875
WI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
65875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063737013
—
WI
Enumeration date
04/01/2010
Last updated
01/28/2026
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