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

Individual provider Diagnostic Radiology Physician · NPI 1174054670

Dr. Michael Edward Larson, MD is a Diagnostic Radiology in Madison, Wisconsin. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Uw Hospitals & Clinics 600 Highland Ave
Madison, WI 53792
Phone: (262) 893-0613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 71888-20 (WI)

Record details

NPI number1174054670
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2017
Last updated in NPPESAugust 2, 2023
Certification dateJuly 31, 2023
Mailing addressRadiology Waukesha, S.C., 1336 Park Ave, South Milwaukee, WI 53172-1133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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