Individual
DANIEL JAMES LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 1ST AVE S, DULUTH, MN 55803-1308
(218) 349-8506
Mailing address
4701 1ST AVE S, DULUTH, MN 55803-1308
(218) 349-8506
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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