Individual
MICHAEL J LAROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6394
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7952
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2854
—
AK
Enumeration date
08/22/2006
Last updated
02/01/2012
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