| Charles G Larsen, CRNA | |
|
580 W College Ave, Marquette, MI 49855-2705 | |
| (906) 225-3406 | |
| (906) 225-3094 |
| Full Name | Charles G Larsen |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 580 W College Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740262906 | NPI | - | NPPES |
| CL147538 | Other | MI | BLUESHIELD PIN |
| 43400600 | Other | WI | WISC MEDICAID PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704147538 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles G Larsen, CRNA 610 Holli Blue Rd, Champion, MI 49814-9769 Ph: (906) 339-4141 | Charles G Larsen, CRNA 580 W College Ave, Marquette, MI 49855-2705 Ph: (906) 225-3406 |
Peter Skellenger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 714 Spruce St, Apt #e, Marquette, MI 49855 Phone: 906-399-3611 | |
Sandra L Wachter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Janet M Simula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Kenneth L Mcneely, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Lisa A Kuopus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Joseph Morris Holcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3595 | |
Laura V Brouillette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-228-9440 |