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Search › Wisconsin › 101YA0400X

John Larson, SAC-IT

NPI 1619520251 · on the registry since 2019

Practice

Address
430 E Division St
Fond Du Lac, WI 54935
Phone
(920) 926-4172
Organisation at this address
Agnesian Healthcare Inc
Agnesian Healthcare, Inc
Agnesian Healthcare, Inc
Agnesian Healthcare, Inc
Agnesian Healthcare, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
254

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-23

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