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Individual

NICOLE LARSCHEID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 272-3380
Mailing address
314 CHURCH RD, LUXEMBURG, WI 54217-1314

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13755-24
WI

Other

Enumeration date
05/17/2017
Last updated
02/11/2021
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