Individual
DR. MICHAEL CARL LARSEN
Active
Individual
DR. MICHAEL CARL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97376
CA
207RG0100X
Gastroenterology Physician
Primary
MD60295858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299294
LABOR AND INDUSTRY
WA
01
—
1962685222
MONTANA MEDICAID
WA
05
—
1962685222
—
WA
01
—
MD00307
AK MEDICAID
AK
Enumeration date
12/10/2007
Last updated
06/18/2013
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