Individual
MR. MATTHEW WAYNE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN, CDE
Contact information
Practice address
210 SUNNYVIEW LN STE 103, KALISPELL, MT 59901
(406) 257-3872
(406) 758-7077
Mailing address
210 SUNNYVIEW LN STE 103, KALISPELL, MT 59901-3128
(406) 257-3872
(406) 758-7077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
59321
MT
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
12/10/2009
Last updated
03/19/2024
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