David C Larsen in Lake Tomahawk - Foot Surgery

David C Larsen - NPI 1235125204

David C Larsen is a Foot Surgery in Lake Tomahawk, Wisconsin. David C Larsen practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for David C Larsen is 1235125204. The last update date is 2017-08-23.

David C Larsen's current location address is 7428 Loon Landing Shrs, Lake Tomahawk, Wisconsin. You can contact this provider via phone number 8772655225 and fax number 7152774944. The mailing address for David C Larsen is 7428 Loon Landing Shrs, Lake Tomahawk, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name David C Larsen
Address 7428 Loon Landing Shrs, Lake Tomahawk, Wisconsin
Phone Number 8772655225
Fax Number 7152774944
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1235125204
Provider Enumeration Date 2005-09-23
Last Updated Date 2017-08-23

Provider Mailing Address Detail

Address 7428 Loon Landing Shrs
City Lake Tomahawk
State Wisconsin (WI)
Post Code 545399110
Phone Number 8772655225
Fax Number 7152774944

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 737-25
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CG4176 WI RAILROAD MEDICARE
43222700 WI --

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FAQs about David C Larsen

What is the unique identification code assigned to David C Larsen by the Centers for Medicare & Medicaid Services?

The David C Larsen has been issued the NPI (National Provider Identifier) 1235125204. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of David C Larsen?

The David C Larsen is situated at 7428 Loon Landing Shrs, in the city of Lake Tomahawk, state of WI, with the zip code 545399110.

What is the area of specialization for David C Larsen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David C Larsen is Foot Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0131X.

When did David C Larsen receive its 1235125204 assignment?

The David C Larsen was assigned its 1235125204 on 2005-09-23, which is the date when this unique identifier was issued to the organization.

When was the information related to David C Larsen most recently updated or refreshed?

The details pertaining to the David C Larsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-08-23.

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