Micah Mae Larson, MD - Madison, WI

Micah Mae Larson, MD

Student in an Organized Health Care Education/Training Program in Madison, Wisconsin

NPI 1528700796

Micah Mae Larson is a Student in an Organized Health Care Education/Training Program based in Madison, WI. Micah Mae Larson practices in Madison, WI and has the professional credentials of MD. The NPI Number for Micah Mae Larson is 1528700796 and holds a License No. (Wisconsin).

The current practice location address for Micah Mae Larson is 3209 Dryden Dr, Madison, WI and can be reached out via phone at 608-241-9020 and via fax at 608-274-0310.

Location: 3209 Dryden Dr, Madison, WI, 53704-3015

NPI Number

1528700796

Provider Name

Micah Mae Larson

Credential

Provider Entity Type

Individual

Gender

Female

Address

3209 Dryden Dr, Madison, WI, 53704-3015

Phone Number

608-241-9020

Fax Number

608-274-0310

Provider Enumeration Date

04/08/2022

Last Update Date

03/10/2024

Address

3209 Dryden Dr

City

Madison

State

Wisconsin

Zip

53704-3015

Phone Number

608-241-9020

Fax Number

608-274-0310

Address

3209 Dryden Dr

City

Madison

State

Wisconsin

Zip

53704-3015

Phone Number

608-241-9020

Fax Number

608-274-0310

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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