NPI 1215932173

John Robert Larson, MD

Practitioner Family Medicine Physician Bremen, IN

Practice location

Address: 1724 W Plymouth St, Bremen, IN 46506-1940
Phone: (574) 546-3649
Fax: (574) 546-3952

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01033673 (IN)

Other Family Medicine providers in Indiana →

Obstetrics Physician

Allopathic & Osteopathic Physicians Taxonomy 207VX0000X Licence 01033673 (IN)

Other Obstetrics & Gynecology providers in Indiana →

Registry record

NPI: 1215932173
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2005
Record last updated: 14 Jan 2010

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.