Stephen Larson, CRNA

NPI #1568465201 in Antigo, Wisconsin

Provider Information

NPI Number
1568465201
Entity Type
Individual
Name
Stephen Larson, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
May 26, 2005
Last Updated
Apr 16, 2014

Practice Location

Address
112 E 5TH AVE
City
Antigo
ZIP Code
54409-2710
Phone
(715) 623-2331

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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