| NPI | 1457419863 |
|---|---|
| Other Name | RANDY O LARSON DC |
| Entity Type | Organization |
| Authorized Contact | RANDY OBERT LARSON President 715-635-9307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1432012) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-04-20 |