Matthew T Larsen in Mount Pleasant - Podiatrist
Matthew T Larsen - NPI 1417944737
Matthew T Larsen is a Podiatrist in Mount Pleasant, Wisconsin. Matthew T Larsen practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Matthew T Larsen is 1417944737. The last update date is 2022-11-16.
Matthew T Larsen's current location address is 8400 Washington Ave, Mount Pleasant, Wisconsin. You can contact this provider via phone number 2628844000. The mailing address for Matthew T Larsen is 8400 Washington Ave, Mount Pleasant, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew T Larsen |
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Address | 8400 Washington Ave, Mount Pleasant, Wisconsin |
Phone Number | 2628844000 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.P.M. |
NPI Number Detail
NPI Number | 1417944737 |
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Provider Enumeration Date | 2005-10-03 |
Last Updated Date | 2022-11-16 |
Provider Mailing Address Detail
Address | 8400 Washington Ave |
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City | Mount Pleasant |
State | Wisconsin (WI) |
Post Code | 534063735 |
Phone Number | 2628844000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 775 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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43226300 | WI | -- | |
4388570001 | WI | DMERC REGION B CARRIER | |
213E00000X | TAXONOMY CODE |
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What is the unique identification code assigned to Matthew T Larsen by the Centers for Medicare & Medicaid Services?
The Matthew T Larsen has been issued the NPI (National Provider Identifier) 1417944737. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Matthew T Larsen?
The Matthew T Larsen is physically situated at 8400 Washington Ave, in the city of Mount Pleasant, state of WI, with the postal code 534063735.
What is the area of specialization for Matthew T Larsen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew T Larsen is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
When did the Matthew T Larsen receive its 1417944737?
The Matthew T Larsen was issued its 1417944737 on 2005-10-03, which is the date when the organization was assigned this unique identifier.
As of what date were the Matthew T Larsen's details last updated?
The information pertaining to the Matthew T Larsen, including its address, specialty, and other details, was most recently updated on 2022-11-16.