Individual
LARRY C STUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433-3046
(763) 537-6000
(763) 537-6666
Mailing address
2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433-3046
(763) 537-6000
(763) 537-6666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37064
WI
207Q00000X
Family Medicine Physician
Primary
52383
MN
208VP0000X
Pain Medicine Physician
37064
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32165400
—
WI
Enumeration date
09/20/2006
Last updated
11/19/2025
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