Individual
DR. DAVID LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3822 IONA WAY SW, ALEXANDRIA, MN 56308-4802
(320) 762-1933
Mailing address
3822 IONA WAY SW, ALEXANDRIA, MN 56308-4802
(320) 762-1933
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
19490
MN
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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