DAVID C LARSEN

WOODRUFF, WI
NPI1235125204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: WI  737-25)
Additional Taxonomies213ES0131X 
(Licence: WI  737-25)
Enumeration Date2005-09-23
Last Update Date2017-08-23
Business Address
-- DAVID C LARSEN DPM
311 ELM ST
WOODRUFF, WI 54568-9149
Phone number: 715-634-9023
Mailing Address
-- DAVID C LARSEN DPM
7428 LOON LANDING SHRS
LAKE TOMAHAWK, WI 54539-9110
Phone number: 877-265-5225
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