JILL LARSON, D.O.

Family Medicine

Active Individual
NPI: 1174612253

Practice Address

240 MAPLE AVE.
PROHEALTH CARE MEDICAL ASSOCIATES, INC.
Mukwonago, WI 53149

Phone: (262) 928-1900

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 49669-021 (WI)

Frequently Asked Questions

NPI 1174612253 is the National Provider Identifier for JILL LARSON, D.O., a Family Medicine provider located in Mukwonago, WI. This NPI was enumerated on October 12, 2006.
JILL LARSON, D.O. practices at 240 MAPLE AVE., PROHEALTH CARE MEDICAL ASSOCIATES, INC., Mukwonago, WI 53149.

Quick Facts

NPI
1174612253
Type
Individual
Enumerated
Oct 12, 2006
Last Updated
Nov 9, 2011

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