Larson, Molly M

Larson, Molly M is an individual health care provider with primary practice located at 650 Mcmillen St , Fort Atkinson WI 53538-1275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Larson, Molly M can be contacted via phone (920) 563-8900.

Contact Information

Primary practice address
650 Mcmillen St Fort Atkinson WI 53538-1275
Phone: (920) 563-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 74392-20 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 52543 Colorado

Profile Details

NPI number 1972898096
LBN Legal business name Larson, Molly M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Oct 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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