Individual
DR. KRISTIN MARIE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 969-7900
Mailing address
324 E STRATFORD LN, APPLETON, WI 54913-8692
(920) 733-0030
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
45035-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34361000
—
WI
Enumeration date
09/21/2006
Last updated
07/08/2007
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