Individual
DR. ERIK PAUL LOGEN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
606 E FRANKLIN ST, SPARTA, WI 54656-1921
(608) 633-7186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21081-40
WI
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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