Doctor Name: | PAUL A. LARSON |
NPI Number: | 1013993013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 27705 |
Business Practice Address: | 325 N Commercial St Neenah, WI - 549562665 |
Business Phone Number: | 9207221583 |
Business Fax Number: | 9207227454 |
Mailing Address: | 325 N Commercial St, NEENAH |
State: | WI |
Postal Code: | 549562665 |
Phone Number: | 9207221583 |
Fax Number: | 9207227454 |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 27705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |