Individual
GERALDINE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W1934 POTTER RD, BURLINGTON, WI 53105-2759
(262) 865-1101
Mailing address
W1934 POTTER RD, BURLINGTON, WI 53105-2759
(262) 865-1101
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1163
WI
Other
Enumeration date
07/17/2014
Last updated
01/21/2019
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