NPI 1316112477
Michael John Larson, BCHIS
Practice location
- Address
- 15612 Windrose Lane #200, Hayward, WI 54843
- Phone
- (715) 634-8736
- Mailing address
- 15612 Windrose Lane Suite #200, Hayward, WI 54843
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1316112477
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Apr 2008
- Record last updated
- 29 Apr 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.