Individual
JOHN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24970
WI
Other
Enumeration date
01/19/2006
Last updated
01/17/2022
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