Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATIE MIETTUNEN LARSON, D.D.S., M.S.
ActiveDR. KATIE MIETTUNEN LARSON, D.D.S., M.S. is a Orthodontics healthcare provider located in ALTOONA, Wisconsin. NPI 1508133901 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ALTOONA, WI
Registration Details
- NPI Number
- 1508133901
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2011 (14.66715340755 yrs)
- Last Updated
- Nov 26, 2021
- Licenses
-
D13027 (MN)6790015 (WI)
Practice Information
- Address
-
2966 MEADOWLARK LANEALTOONA, WI, 54720Browse WI providers · Browse ZIP 54720
- Phone
- 7155143333
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in ALTOONA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW EVANS LARSON | DDS, MS | 1144596651 |
| DR. ANGELA M PELEHAC | DDS, MSD | 1720645708 |
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.