Bridget Killeen Larson M.D.

NPI 1285993725 - Radiology - 2085R0202X

NPI Details
NPI 1285993725
Gender Female
Enumeration Date 05/03/2012
Last Updated 07/28/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
2900 W OKLAHOMA AVE
MILWAUKEE WI, 53215-4330, US
Phone (414) 649-3323
Fax
Business Location
2036 N PROSPECT AVE
APT 1603
MILWAUKEE WI, 53202-1260, US
Phone (630) 632-0214
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Wisconsin
License Number 1285993725
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According to our database, Bridget Killeen Larson M.D. NPI is 1285993725, taxonomy code is 2085R0202X and license number is 1285993725, license state is located at Wisconsin. Bridget Killeen Larson M.D. physically located at 2900 W Oklahoma Ave, Milwaukee WI, 53215-4330. NPI Number Bridget Killeen Larson M.D. has the Individual type.

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1285993725 NPI number is provided on an as is basis without warranty of any kind. 1285993725 is maintained by the National Plan & Provider Enumeration System. The contents of Bridget Killeen Larson M.D. are for informational purposes only.