Individual
SHAWN G LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40180
WI
Other
Enumeration date
11/18/2005
Last updated
02/12/2016
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