NPI
Brandon Larson
NPI 1639648082
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PTA
- Type
- Individual
- Enumeration date
- 2018-11-15
- Last updated
- 2018-11-15
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Specialties
Licenses
- License WI
- 2795-19
Location
- Practice location
- 501 S Winsted St
- City
- Spring Green WI
- Postal code
- 53588-9435
- Phone
- (608) 588-0208
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Spring Green, WI. 78 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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