Individual provider · Type 1 NPI

Amy Elizabeth Larson, PA-C

Medical Physician Assistant · Milwaukee, WI

NPI number 1477804664 Active

Practice location

2350 N Lake Dr, Suite 206
Milwaukee, WI 53211-4528

Call (414) 298-7280 Map

Mailing address

8070 Horseshoe Bend Rd
Blanchardville, WI 53516-9147

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1477804664

Amy Elizabeth Larson, PA-C's National Provider Identifier is 1477804664, issued on Sep 27, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 27, 2012.