Individual
MR. ERIC THOMAS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3272 OAK VIEW DR, WOODBURY, MN 55129-9370
(651) 528-9928
Mailing address
3272 OAK VIEW DR, WOODBURY, MN 55129-9370
(651) 528-9928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R174225-7
MN
367500000X
Certified Registered Nurse Anesthetist
CCNA0086627
MN
Other
Enumeration date
12/07/2010
Last updated
06/17/2014
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