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Search › Wisconsin › 183500000X

Brad Larson

NPI 1699173575 · on the registry since 2014 · sole proprietor

Practice

Address
8770 S Howell Ave
Oak Creek, WI 53154
Phone
(414) 762-6770
Organisation at this address
Vision Mart, Inc
Aurora Pharmacy Inc
Roundys Supermarkets Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-09

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