Mark William Larsen DC

NPI 1043335078 - Chiropractor - 111N00000X

NPI Details
NPI 1043335078
Gender Male
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7 N WABASH ST
PERU IN, 46970-2224, US
Phone (765) 472-1127
Fax (765) 472-5228
Business Location
7 N WABASH ST
PERU IN, 46970-2224, US
Phone (765) 472-1127
Fax (765) 472-5228
Toxanomy
Taxonomy Code 111N00000X
License State Indiana
License Number 08001019A
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According to our database, Dr. Mark William Larsen DC NPI is 1043335078, taxonomy code is 111N00000X and license number is 08001019A, license state is located at Indiana. Mark William Larsen DC physically located at 7 N Wabash St, Peru IN, 46970-2224. NPI Number Mark William Larsen DC has the Individual type.

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1043335078 NPI number is provided on an as is basis without warranty of any kind. 1043335078 is maintained by the National Plan & Provider Enumeration System. The contents of Mark William Larsen DC are for informational purposes only.