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Dr. Mark William Larsen, DC
Chiropractor in Peru, Indiana
NPI 1043335078

Mark William Larsen is a Chiropractor based in Peru, IN. Mark William Larsen practices in Peru, IN and has the professional credentials of DC. The NPI Number for Mark William Larsen is 1043335078 and holds a License No. 08001019A (Indiana).

The current practice location address for Mark William Larsen is 7 N Wabash St, Peru, IN and can be reached out via phone at 765-472-1127 and via fax at 765-472-5228.

Location: 7 N Wabash St, Peru, IN, 46970-2224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043335078
Provider Name
Mark William Larsen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
7 N Wabash St, Peru, IN, 46970-2224
Phone Number
765-472-1127
Fax Number
765-472-5228
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000092330 01 IN ANTHEM WELLPOINT
institution
Provider Business Practice Location Address Details
Address
7 N Wabash St
City
Peru
State
Indiana
Zip
46970-2224
Phone Number
765-472-1127
Fax Number
765-472-5228
person
Provider Business Mailing Address Details
Address
7 N Wabash St
City
Peru
State
Indiana
Zip
46970-2224
Phone Number
765-472-1127
Fax Number
765-472-5228
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001019A (Indiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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