Individual
JACOB LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-1069
Mailing address
1836 SOUTH AVE, HOSPITALIST PA OFFICE, LA CROSSE, WI 54601-5429
(608) 775-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3577-23
WI
Other
Enumeration date
05/06/2015
Last updated
08/19/2015
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