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Contact Information

MATTHEW E LARSON
600 HIGHLAND AVE
MADISON, WI53792-0001
 Phone: 608-263-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MATTHEW E LARSON · (Male)

NPI # 1316444615
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2018
Last updated 12/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 73825-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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