Individual
MR. MATTHEW J LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 HOFFMAN RD, MANKATO, MN 56001-5829
(507) 351-9111
Mailing address
2112 HOFFMAN RD, MANKATO, MN 56001-5829
(507) 351-9111
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MN
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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