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Dr. John Robert Larson, MD
Obstetrics Physician in Bremen, Indiana
NPI 1215932173

John Robert Larson is a Obstetrics Physician based in Bremen, IN and is specialized in Obstetrics. John Robert Larson practices in Bremen, IN and has the professional credentials of MD. The NPI Number for John Robert Larson is 1215932173 and holds a License No. 01033673 (Indiana).

The current practice location address for John Robert Larson is 1724 W Plymouth St, Bremen, IN and can be reached out via phone at 574-546-3649 and via fax at 574-546-3952.

Location: 1724 W Plymouth St, Bremen, IN, 46506-1940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215932173
Provider Name
John Robert Larson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1724 W Plymouth St, Bremen, IN, 46506-1940
Phone Number
574-546-3649
Fax Number
574-546-3952
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100468970B 05 IN
371199381 01 IN TRICARE
000000296642 01 IN ANTHEM BCBS
0004619574 01 IN AETNA
institution
Provider Business Practice Location Address Details
Address
1724 W Plymouth St
City
Bremen
State
Indiana
Zip
46506-1940
Phone Number
574-546-3649
Fax Number
574-546-3952
person
Provider Business Mailing Address Details
Address
1724 W Plymouth St
City
Bremen
State
Indiana
Zip
46506-1940
Phone Number
574-546-3649
Fax Number
574-546-3952
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01033673 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
01033673 (Indiana)
Definition
Definition to come...
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