SearchWisconsinAdult Medicine Physician

Charles Larson, M.D

NPI 1184768129 · on the registry since 2007 · sole proprietor

Practice

Address
Flci
W10237 Lake Emily Rd
Fox Lake, WI 54935
Phone
(920) 928-6958
Fax
(920) 928-6951

Registry record

Primary taxonomy
Adult Medicine Physician
207QA0505X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin