Individual provider · Type 1 NPI

Micah Mae Larson, MD

Family Medicine Physician · Madison, WI

NPI number 1528700796 Active

Practice location

3209 Dryden Dr
Madison, WI 53704-3015

Fax (608) 274-0310

Mailing address

430 Cantwell Ct Apt D
Madison, WI 53703-3787

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X83153 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1528700796

Micah Mae Larson, MD's National Provider Identifier is 1528700796, issued on Apr 8, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Madison, WI. The record was last updated on Aug 13, 2026.