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1003867508
DAVID L LARSON
MILWAUKEE, WI
NPI
1003867508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: WI 27404)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Dr. DAVID L LARSON MD
8700 WATERTOWN PLANK ROAD WISCONSIN ATHLETIC CLUB BLDG
MILWAUKEE, WI 53226
Phone number: 414-805-3666
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Mailing Address
Dr. DAVID L LARSON MD
8700 W WATERTOWN PLANK RD WISCONSIN ATHLETIC CLUB BUILDING
MILWAUKEE, WI 53226-3595
Phone number:
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