Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles E Larson, MD

Individual provider Adult Medicine Physician · NPI 1184768129

Dr. Charles E Larson, MD is an Adult Medicine Physician in Fox Lake, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Flci W10237 Lake Emily Rd
Fox Lake, WI 54935-8525
Phone: (920) 928-6958
Fax: (920) 928-6951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 26821 (WI)

Record details

NPI number1184768129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressW4455 Overland Trl, Fond Du Lac, WI 54935-8525