Individual
DR. ELIZABETH ROSE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561
Mailing address
1735 HOLLAND ST, BIRMINGHAM, MI 48009-7804
(612) 232-9049
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036146507
IL
207L00000X
Anesthesiology Physician
35.151726
OH
207L00000X
Anesthesiology Physician
Primary
4301507572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083531
—
OH
Enumeration date
04/23/2014
Last updated
06/20/2025
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