Individual
DR. MICHAEL RICHARD LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
201 ALLEGHENY AVE, COUDERSPORT, PA 16915-1501
(814) 274-9231
Mailing address
201 ALLEGHENY AVE, COUDERSPORT, PA 16915-1501
(814) 274-9231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008048
PA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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