Individual
GREGORY LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MEDICAL TECHNOLOGIST
Contact information
Practice address
40520 CO HWY 34, WHITE EARTH HEALTH CENTER, OGEMA, MN 56569
(218) 983-4300
(218) 983-6217
Mailing address
11101 COYHWY 17, DETROIT LAKES, MN 56501
(218) 846-9901
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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