Individual
RONALD M LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 4TH ST SW, MMCNI ADMINISTRATION, MASON CITY, IA 50401-2800
(641) 422-7492
Mailing address
1000 4TH ST SW, MMCNI ADMINISTRATION, MASON CITY, IA 50401-2800
(641) 422-7492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20107
IA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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