IndividualActive
Paul Larson, M.D.
NPI 1124091749 · Child & Adolescent Psychiatry Physician · Waukesha, WI
Provider details
- NPI number
- 1124091749
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 39093 (WI)
Practice location
721 American Avenue Suite 501
Phc Behavioral Medicine Center
Waukesha, WI 53188
Phone: (262) 928-2396
Fax: (262) 544-1213
Mailing address
721 American Avenue Suite 501
Waukesha, WI 53188
Registry dates
- Enumerated
- 2006-02-13
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.