Individual
DR. LARISA SOTINSKY SPEETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
106410
MN
207N00000X
Dermatology Physician
42182
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450641
—
AZ
Enumeration date
06/25/2008
Last updated
08/21/2012
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