Individual
LARRY NILSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4010 WEST 65TH STREET, TWIN CITIES ORTHOPEDICS, EDINA, MN 55435-4800
(952) 944-2519
(952) 944-0460
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 456-7000
(952) 944-0460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9754
MN
Other
Enumeration date
01/05/2006
Last updated
06/16/2015
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