Individual
DENISE MARIE LARSON
Active
Individual
DENISE MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
36489
MN
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
36489
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302513600
—
MN
Enumeration date
06/28/2006
Last updated
04/22/2016
Update your record
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