Organization
ORTHOPEDIC SURGICAL CONSULTANTS, P.A.
Active
Organization
ORTHOPEDIC SURGICAL CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER R LARSON PA-C (PA-C, OFFICE MANAGER)
(952) 403-3399
Entity
Organization
Contact information
Practice address
1601 SAINT FRANCIS AVE, SUITE 200, SHAKOPEE, MN 55379-3373
(952) 403-3399
(952) 403-3390
Mailing address
2854 HIGHWAY 55, SUITE 130, EAGAN, MN 55121-2156
(651) 842-3367
(651) 224-5273
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
09/05/2008
Update your record
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