NPI 1003867508

David L Larson, MD

Practitioner Plastic and Reconstructive Surgery Physician Milwaukee, WI

Practice location

Address: 8700 Watertown Plank Road Wisconsin Athletic Club Bldg, Milwaukee, WI 53226
Phone: (414) 805-3666
Mailing address: 8700 W Watertown Plank Rd Wisconsin Athletic Club Building, Milwaukee, WI 53226-3595

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 27404 (WI)

Other Surgery providers in Wisconsin →

Registry record

NPI: 1003867508
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2006
Record last updated: 8 Jul 2007

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.