Randy Obert Larson is a Spooner, Wisconsin based male chiropractor with 47 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 1977. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Randy Obert Larson as General Chiropractor is 1432012 in Wisconsin. Randy Obert Larson is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Randy Obert Larson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
47+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
1977
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
410 N River St, Spooner, Wisconsin, 54801-1495
Phone:
715-635-9307
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4284722018
Enrollment ID:
I20071113000205
NPI Number:
1437347648
NPI Enumeration Date:
12 Oct, 2007
NPI Last Update On:
30 Apr, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randy Obert Larson are as mentioned below.
License Number
Specialization
State
Status
1432012
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Randy Obert Larson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38752600
Medicaid
Wisconsin
350052432
Other
Wisconsin
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
410 N River St, Spooner, Wisconsin
Zip:
54801-1495
Phone Number:
715-635-9307
Fax Number:
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Patients can reach Randy Obert Larson at 410 N River St, Spooner, Wisconsin or can call to book an appointment on 715-635-9307. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.