Individual
SCOTT R LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 WATER AVE, HILLSBORO, WI 54634-9054
(608) 489-8225
Mailing address
1427 AMBER CT, REEDSBURG, WI 53959-2289
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
12492
WI
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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