Randy O Larson Dc | |
410 N River St, Spooner, WI 54801 | |
(715) 635-9307 | |
Not Available |
Full Name | Randy O Larson Dc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 410 N River St, Spooner, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457419863 | NPI | - | NPPES |
350052432 | Other | RR MEDICARE | |
38752600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1432012 (Wisconsin) | Primary |
Provider Name | Randy O Larson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437347648 PECOS PAC ID: 4284722018 Enrollment ID: I20071113000205 |
Mailing Address | Practice Location Address |
---|---|
Randy O Larson Dc 410 N River St, Spooner, WI 54801 Ph: (715) 635-9307 | Randy O Larson Dc 410 N River St, Spooner, WI 54801 Ph: (715) 635-9307 |
Randy Obert Larson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 410 N River St, Spooner, WI 54801 Phone: 715-635-9307 | |
Dr. Lyle L Lauritsen, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 214 Spruce St, Spooner, WI 54801 Phone: 715-635-6969 Fax: 715-635-6946 | |
Strickland Chiropractic Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 211 E Linn St, Spooner, WI 54801 Phone: 715-635-9494 Fax: 715-635-9755 | |
Dr. Randy G Strickland, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 211 E Linn St, Spooner, WI 54801 Phone: 715-635-9494 Fax: 715-635-9755 |