IndividualActive
David Larson, MD
NPI 1003867508 · Plastic and Reconstructive Surgery Physician · Milwaukee, WI
Provider details
- NPI number
- 1003867508
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 27404 (WI)
Practice location
8700 Watertown Plank Road
Wisconsin Athletic Club Bldg
Milwaukee, WI 53226
Phone: (414) 805-3666
Mailing address
8700 W Watertown Plank Rd
Milwaukee, WI 53226-3595
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.