NPI 1003806795

Susan Manz Larson, MD

Practitioner Physical Medicine & Rehabilitation Physician West Allis, WI

Practice location

Address: 2424 S 90th St Suite 500, West Allis, WI 53227-2455
Phone: (414) 328-8600
Fax: (414) 328-8686
Mailing address: 19475 W North Ave Suite 201, Brookfield, WI 53045-4199

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 31194020 (WI)

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Registry record

NPI: 1003806795
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2005
Record last updated: 16 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.