Individual
DR. MATTHEW DANIEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
Mailing address
7107 HARRISON ST, KANSAS CITY, MO 64131-1607
(605) 321-6428
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
77624
MN
Other
Enumeration date
04/12/2019
Last updated
07/17/2024
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