Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL C. LARSON, D.O.
ActiveJILL C. LARSON, D.O. is a Family Medicine healthcare provider located in MUKWONAGO, Wisconsin. NPI 1174612253 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MUKWONAGO, WI
Registration Details
- NPI Number
- 1174612253
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2006 (19.65192976652 yrs)
- Last Updated
- Nov 9, 2011
- License
-
49669-021 (WI)
Practice Information
- Address
-
240 MAPLE AVE.PROHEALTH CARE MEDICAL ASSOCIATES, INC.MUKWONAGO, WI, 531498475Browse WI providers · Browse ZIP 53149
- Phone
- 2629281900
- Fax
- 2629281949
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MUKWONAGO, WI
| Name | Credential | NPI |
|---|---|---|
| JON L WOOLEVER | M.D. | 1982677969 |
| STEVEN C. FEHR | M.D. | 1104899277 |
| STEVEN G HAMMER | M.D. | 1134192198 |
| ANTHONY NORELLI | M.D. | 1093788176 |
| SCOTT R. STREHLOW | M.D. | 1235102310 |
| WAYNE W. PETERSON | M.D. | 1538132501 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.