Dr. Erik Larsen, MD
Student in an Organized Health Care Education/Training Program in Winston Salem, NC. Individual provider (NPI-1).
NPI number1003518655
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1003518655
- Entity type
- Individual (NPI-1)
- Name
- Dr. Erik Larsen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2023
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Medical Center BoulevardWinston Salem, NC 27157-4669
Phone 336-716-2783
Mailing address
1 Medical Center BoulevardWinston Salem, NC 27157-0001
Phone 336-716-2783
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