Dr. David L Larson
Plastic and Reconstructive Surgery
8700 Watertown Plank Road Wisconsin Athletic Club Bldg
Milwaukee
, Wisconsin 53226
Dr. David L Larson
Plastic and Reconstructive Surgery
8700 Watertown Plank Road Wisconsin Athletic Club Bldg
Milwaukee
, Wisconsin 53226
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. David L Larson
- 8700 W Watertown Plank Rd Wisconsin Athletic Club Building
- Milwaukee, WI
- Zip : 53226-3595
- Phone :
Second Address
- Dr. David L Larson
- 8700 Watertown Plank Road Wisconsin Athletic Club Bldg
- Milwaukee, WI
- Zip : 53226
- Phone : (414) 805-3666
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 27404 | WI |
National Provider Identifier
| NPI | 1003867508 |
|---|---|
| Provider Name | Dr. David L Larson |
| First Address | Milwaukee, WI 53226-3595 |
| Second Address | Milwaukee, WI 53226 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30711500 | (05) | WI |
| F25321 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.