IndividualActive
Mark Larson, MD
NPI 1831651868 · Glaucoma Specialist (Ophthalmology) Physician · Greenfield, WI
Provider details
- NPI number
- 1831651868
- Entity type
- Individual
- Primary specialty
- Glaucoma Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 84144-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4600 W Loomis Rd Ste 310
Greenfield, WI 53220-4858
Phone: (414) 281-0424
Fax: (414) 281-0959
Approximate (ZIP-level) locationGet directions
Mailing address
4600 W Loomis Rd Ste 310
Greenfield, WI 53220-4858
Registry dates
- Enumerated
- 2019-03-31
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.