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Randy Obert Larson, DC
Chiropractor in Spooner, Wisconsin
NPI 1437347648

Randy Obert Larson is a Chiropractor based in Spooner, WI. Randy Obert Larson practices in Spooner, WI and has the professional credentials of DC. The NPI Number for Randy Obert Larson is 1437347648 and holds a License No. 1432012 (Wisconsin).

The current practice location address for Randy Obert Larson is 410 N River St, Spooner, WI and can be reached out via phone at 715-635-9307.

Location: 410 N River St, Spooner, WI, 54801-1495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437347648
Provider Name
Randy Obert Larson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
410 N River St, Spooner, WI, 54801-1495
Phone Number
715-635-9307
Fax Number
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38752600 05 WI
350052432 01 WI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
410 N River St
City
Spooner
State
Wisconsin
Zip
54801-1495
Phone Number
715-635-9307
Fax Number
person
Provider Business Mailing Address Details
Address
410 N River St
City
Spooner
State
Wisconsin
Zip
54801-1495
Phone Number
715-635-9307
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1432012 (Wisconsin)
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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