Search › Wisconsin › 103T00000X
Gordon Larsen, PH. D
NPI 1750520524 · on the registry since 2009
Practice
- Address
- 2600 N Mayfair Rd Ste 785
Milwaukee, WI 53226 - Phone
- (414) 258-5704
- Fax
- (414) 258-8406
- Organisation at this address
- Wisconsin Retina, S.C.
Drs. Massaro & Kalenak S C
Forefront Dermatology, S.C.
Metropolitan Urology Group, Sc
Parkland Clinic-Muni H Patel Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-18
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