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Individual

ALEXANDER K LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2977
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
66867-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124349337
WI
Enumeration date
06/22/2010
Last updated
12/04/2020
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