Search › Wisconsin › 133V00000X
Susan Larson
NPI 1588370902 · on the registry since 2023
Practice
- Address
- 1020 35th Street
Kenosha, WI 53140 - Phone
- (262) 767-6487
- Organisation at this address
- Mh Imaging-Kenosha Llc
Aurora Medical Group Inc
Genesis Medical Center Of Kenosha, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-30
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