DAVID L. LARSON MD – NPI #1003867508
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

DAVID LARSON is a surgeon located in MILWAUKEE, WI. NPPES has assigned the NPI number 1003867508 to DAVID LARSON on May 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID LARSON below.

NPI Profile for
DAVID L. LARSON

NPI Number
1003867508
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID L. LARSON
Credentials
MD
Primary location
8700 WATERTOWN PLANK ROAD
WISCONSIN ATHLETIC CLUB BLDG
MILWAUKEE, WI 53226
Phone: (414) 805-3666 Fax:
Mailing address
8700 W WATERTOWN PLANK RD
WISCONSIN ATHLETIC CLUB BUILDING
MILWAUKEE, WI 53226-3595
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for DAVID LARSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI30711500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
WI 27404

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.