Individual
JOHN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
(608) 807-1429
Mailing address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
(608) 807-1429
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
124859
WI
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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