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1760417760
TIMOTHY C LARSEN
APPLETON, WI
NPI
1760417760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WI 45036-20)
Enumeration Date
2006-07-11
Last Update Date
2007-07-09
Business Address
Dr. TIMOTHY C LARSEN M.D.
1818 N MEADE ST
APPLETON, WI 54911-3454
Phone number: 920-731-4101
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Mailing Address
Dr. TIMOTHY C LARSEN M.D.
200 E WASHINGTON ST P O BOX 8031
APPLETON, WI 54911-5490
Phone number: 800-261-1770
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