Individual
DANE MARC LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 BEAM LN, FISHERSVILLE, VA 22939-2348
(540) 213-7750
(540) 213-7750
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 213-7750
(540) 213-7755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101263220
VA
207VG0400X
Gynecology Physician
219513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02138829
—
NY
Enumeration date
04/24/2006
Last updated
12/20/2023
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