Individual
DR. BARRETT PAUL LARSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 S MAPLE ST STE 400, WACONIA, MN 55387-1757
(952) 442-8011
(952) 442-7852
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1791
(952) 442-2191
(952) 442-8055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58802
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
58802
MN
207RP1001X
Pulmonary Disease Physician
Primary
58802
MN
Other
Enumeration date
11/05/2008
Last updated
12/14/2018
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