DR. DAVID L LARSON MD
NPI 1003867508
Surgery - Plastic and Reconstructive Surgery in Milwaukee, WI

Active since May 12, 2006
8700 WATERTOWN PLANK ROAD, WISCONSIN ATHLETIC CLUB BLDG, MILWAUKEE, WI 53226(414) 805-3666 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David L Larson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID L LARSON MD (NPI 1003867508) is an individual plastic and reconstructive surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (27404) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1003867508
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. DAVID L LARSONCredential: MD
Location Address8700 WATERTOWN PLANK ROAD, WISCONSIN ATHLETIC CLUB BLDGMilwaukee, WI 53226
Mailing Address8700 W Watertown Plank Rd, Wisconsin Athletic Club BuildingMilwaukee, WI 53226-3595
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003867508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in WI · 27404
Definition
A surgeon who specializes in plastic and reconstructive surgery.
8700 WATERTOWN PLANK ROAD, Milwaukee, WI 53226

Other Identifiers 3

Medicaid30711500WI
Medicare UPINF25321
Medicare ID-Type Unspecified0092673601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Larson's NPI number?

The NPI number for David Larson is 1003867508. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is David Larson located?

David Larson practices at 8700 Watertown Plank Road Wisconsin Athletic Club Bldg, Milwaukee, WI 53226. The listed phone number is (414) 805-3666.

What is David Larson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for David Larson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.