Dr Michael Edward Larson, MD | |
Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 | |
(262) 893-0613 | |
Not Available |
Full Name | Dr Michael Edward Larson |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | Uw Hospitals & Clinics 600 Highland Ave, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174054670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 71888-20 (Wisconsin) | Primary |
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Entity Name | Radiology Waukesha Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730175258 PECOS PAC ID: 3274520648 Enrollment ID: O20040428000089 |
Entity Name | Radiology Consultants A Professional Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124056734 PECOS PAC ID: 0749173029 Enrollment ID: O20240108004031 |
Mailing Address | Practice Location Address |
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Dr Michael Edward Larson, MD Radiology Waukesha, S.c., 1336 Park Ave, South Milwaukee, WI 53172-1133 Ph: (414) 940-0278 | Dr Michael Edward Larson, MD Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Ph: (262) 893-0613 |
Pippa Froukte Cosper, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8500 Fax: 608-263-9167 | |
Dr. David Francis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Uw Hospitals And Clinics, 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Tyler M Prout, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8340 Fax: 608-265-6533 | |
Dr. Michelle Mary Kolton Mackay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1104 John Nolen Dr, Madison, WI 53713 Phone: 608-251-6868 Fax: 608-251-4255 | |
Troy Nelson Tenbrunsel, MD Radiology Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Taylor J Sellers, MD Radiology Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6042 | |
Michael W. Zinda, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1104 John Nolen Dr, Madison, WI 53713 Phone: 608-251-6868 Fax: 608-251-4255 |