Individual
DR. CHRISTOPHER L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
(920) 452-1920
Mailing address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
(920) 452-1920
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20209020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32866800
—
WI
Enumeration date
02/28/2006
Last updated
05/05/2010
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