Individual
ALEXANDRA L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 W KALSCHED ST, MARSHFIELD, WI 54449-1334
(715) 221-6110
Mailing address
1320 N SHAWANO DR, MARSHFIELD, WI 54449-1346
(815) 997-6753
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125059458
IL
Other
Enumeration date
06/13/2011
Last updated
02/27/2018
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