IndividualActive
Adam Larsen
NPI 1073084034 · Student in an Organized Health Care Education/Training Program · Appleton, WI
Provider details
- NPI number
- 1073084034
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Mailing address
3117 E Drake Ln
Appleton, WI 54913-8000
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.