Individual
TODD ROBERT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
(920) 452-1920
Mailing address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
(920) 452-1920
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55136-021
WI
Other
Enumeration date
09/15/2010
Last updated
12/16/2021
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