Michael R. Larson

NPI #1275634016 in Springfield, Illinois

Provider Information

NPI Number: 1275634016
Entity Type: Individual
Name: Michael R. Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Enumeration Date: Sep 26, 2006
Last Updated: Aug 13, 2008

Practice Location

Address: 1025 S 6TH ST
City: Springfield
State: Illinois
ZIP Code: 62703-2403
Phone: (217) 528-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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