Individual
ERIC M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1885 WEST POINTE DR, OSHKOSH, WI 54902-4174
(920) 232-6550
(920) 232-6552
Mailing address
PO BOX 2723, OSHKOSH, WI 54903-2723
(920) 232-6550
(920) 232-6552
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45716
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34413200
—
WI
Enumeration date
01/23/2006
Last updated
07/16/2013
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