Individual
DR. CHRIS N LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 ANGELS PATH RD, DE PERE, WI 54115-4050
(920) 338-2855
(920) 338-9270
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 338-2855
(920) 338-9270
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32022
WI
2084P0804X
Child & Adolescent Psychiatry Physician
32022
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31714300
—
WI
Enumeration date
08/12/2006
Last updated
04/08/2016
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