Individual
DREW LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1650 45TH ST S STE 113, FARGO, ND 58103-3247
(701) 532-0397
Mailing address
2708 38 1/2 AVE S, FARGO, ND 58104-7005
(701) 570-7837
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1148
ND
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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