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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124778030

Jeannette Marie Larson, MD is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
Specialties on file
2
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

202 S Park St
Madison, WI 53715-1507
Phone: (608) 417-6228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 749 University Row Ste 200, Madison, WI 53705-1465 — (608) 263-6400

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 83038 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124778030
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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