Susan Manz Larson
Physical Medicine & Rehabilitation Doctor
2424 S 90th St Suite 500
West Allis
, Wisconsin 53227-2455
Susan Manz Larson
Physical Medicine & Rehabilitation Doctor
2424 S 90th St Suite 500
West Allis
, Wisconsin 53227-2455
(262) 780-4425
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Susan Manz Larson
- 19475 W North Ave Suite 201
- Brookfield, WI
- Zip : 53045-4199
- Fax : (262) 780-4425
- Phone : (262) 780-4400
Second Address
- Susan Manz Larson
- 2424 S 90th St Suite 500
- West Allis, WI
- Zip : 53227-2455
- Fax : (414) 328-8686
- Phone : (414) 328-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 31194020 | WI |
National Provider Identifier
| NPI | 1003806795 |
|---|---|
| Provider Name | Susan Manz Larson |
| First Address | Brookfield, WI 53045-4199 |
| Second Address | West Allis, WI 53227-2455 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2005 |
| Last Update Date | 16/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31609800 | (05) | WI |
| D81648 | (02) | WI |
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.