Basic Information
Provider Information
NPI: 1356877427
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LARSON
FirstName: RAMSEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherLastName:  
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Mailing Information
Address1: 600 HIGHLAND AVE
Address2: UW HOSPITAL AND CLINICS
City: MADISON
State: WI
PostalCode: 53792
CountryCode: US
TelephoneNumber: 6082636400
FaxNumber:  
Practice Location
Address1: 600 HIGHLAND AVE
Address2: UW HOSPITAL AND CLINICS
City: MADISON
State: WI
PostalCode: 53792
CountryCode: US
TelephoneNumber: 6082636400
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2017
LastUpdateDate: 09/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD61158100WAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X69865-20WIN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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