Individual
JOSHUA H. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
39644
IA
2085R0202X
Diagnostic Radiology Physician
39644
IA
2085R0202X
Diagnostic Radiology Physician
Primary
56770
WI
2085R0202X
Diagnostic Radiology Physician
R-8215
IA
2085U0001X
Diagnostic Ultrasound Physician
39644
IA
Other
Enumeration date
07/11/2007
Last updated
07/11/2012
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