Individual
DR. MICHAEL EDWARD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UW HOSPITALS & CLINICS 600 HIGHLAND AVE, MADISON, WI 53792
(262) 893-0613
Mailing address
RADIOLOGY WAUKESHA, S.C., 1336 PARK AVE, SOUTH MILWAUKEE, WI 53172-1133
(414) 940-0278
(414) 301-9508
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
71888-20
WI
Other
Enumeration date
03/26/2017
Last updated
08/02/2023
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