Jennine Larson is a Trauma Surgery in Wausau, Wisconsin. Jennine Larson practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Jennine Larson is 1942412044. The last update date is 2021-01-04.
Jennine Larson's current location address is 2400 Pine Ridge Blvd, Wausau, Wisconsin. You can contact this provider via phone number 7158472022. The mailing address for Jennine Larson is 2400 Pine Ridge Blvd, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennine Larson |
|---|---|
| Address | 2400 Pine Ridge Blvd, Wausau, Wisconsin |
| Phone Number | 7158472022 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942412044 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2021-01-04 |
Provider Mailing Address Detail
| Address | 2400 Pine Ridge Blvd |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544017803 |
| Phone Number | 7158472022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | 51726 |
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Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35352800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jennine Larson?
The Jennine Larson has been issued the NPI (National Provider Identifier) 1942412044 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jennine Larson's facilities are situated?
The facilities of Jennine Larson are physically located at the following address: 2400 Pine Ridge Blvd, Wausau, WI, 544017803.
What is Jennine Larson's area of expertise and its corresponding taxonomy classification?
The Jennine Larson's field of specialization is Trauma Surgery, and it falls under the taxonomy code 2086S0127X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1942412044 to Jennine Larson?
The Jennine Larson received its 1942412044 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information regarding Jennine Larson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennine Larson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-04.
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