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DR. CHARLES E LARSON M.D.
NPI 1184768129
Family Medicine - Adult Medicine in Fox Lake, WI

Active since February 15, 2007
FLCI, W10237 LAKE EMILY RD, FOX LAKE, WI 54935(920) 928-6958(920) 928-6951 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles E Larson M.d. NPPES

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

DR. CHARLES E LARSON M.D. (NPI 1184768129) is an individual adult medicine provider in Fox Lake, Wisconsin, licensed in Wisconsin (26821) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1184768129
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. CHARLES E LARSONCredential: M.D.
Location AddressFLCI, W10237 LAKE EMILY RDFox Lake, WI 54935-8525
Mailing AddressW4455 Overland TrlFond Du Lac, WI 54935-8525 · (920) 924-9630
Phone(920) 928-6958
Fax(920) 928-6951
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184768129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in WI · 26821
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
FLCI, Fox Lake, WI 54935
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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 Charles Larson's NPI number?

The NPI number for Charles Larson is 1184768129. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Charles Larson located?

Charles Larson practices at Flci W10237 Lake Emily Rd, Fox Lake, WI 54935. The listed phone number is (920) 928-6958.

What is Charles Larson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Charles 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.