Individual
SERGIY LARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(304) 293-1254
Mailing address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-0409
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29273
WV
207L00000X
Anesthesiology Physician
Primary
74292-20
WI
Other
Enumeration date
06/26/2017
Last updated
11/02/2021
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