Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES E LARSON, M.D.
Active Sole ProprietorDR. CHARLES E LARSON, M.D. is a Adolescent Medicine healthcare provider located in FOX LAKE, Wisconsin. NPI 1184768129 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · FOX LAKE, WI
Registration Details
- NPI Number
- 1184768129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2007 (19.50623704298 yrs)
- Last Updated
- Jul 8, 2007
- License
-
26821 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
FLCIW10237 LAKE EMILY RDFOX LAKE, WI, 549358525Browse WI providers · Browse ZIP 54935
- Phone
- 9209286958
- Fax
- 9209286951
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.