Individual
JEFFREY D. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
50808-20
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
50808-20
WI
Other
Enumeration date
06/22/2006
Last updated
01/06/2026
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