Individual provider · Type 1 NPI
David L. Larson, MD
Plastic and Reconstructive Surgery Physician · Milwaukee, WI
NPI number
1003867508
Active
Practice location
8700 Watertown Plank Road, Wisconsin Athletic Club Bldg
Milwaukee, WI 53226
Mailing address
8700 W Watertown Plank Rd, Wisconsin Athletic Club Building
Milwaukee, WI 53226-3595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 27404 (WI) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1003867508
David L. Larson, MD's National Provider Identifier is 1003867508, issued on May 12, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.