Individual
JEFFREY D LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 S MAIN ST, RIVER FALLS, WI 54022-2452
(715) 425-6701
Mailing address
1700 UNIVERSITY AVE W # 6TH, SAINT PAUL, MN 55104-3727
(651) 232-1123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37621
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32225000
—
WI
Enumeration date
08/30/2005
Last updated
08/07/2023
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