Individual
DR. RICHARD THOMAS LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2198 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 833-8050
Mailing address
2198 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 833-8050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1367
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38830200
—
WI
Enumeration date
01/29/2007
Last updated
07/08/2007
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