Individual
SKYLAR M LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 HIGHLAND AVE, MADISON, WI 53705-2221
(608) 263-4900
Mailing address
921 S BROOKS ST APT 6, MADISON, WI 53715-1977
(801) 362-3963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81897-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
07/06/2023
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