Individual
MACKENZIE ELIZABETH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1250 PRAIRIE CREEK BLVD UNIT 201, OCONOMOWOC, WI 53066-8687
(920) 284-0618
Mailing address
1250 PRAIRIE CREEK BLVD UNIT 201, OCONOMOWOC, WI 53066-8687
(920) 284-0618
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6305-12
WI
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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