Individual
CAROL JEAN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4670
(612) 863-8375
Mailing address
2345 RICE ST, #160, SAINT PAUL, MN 55113-3741
(651) 483-2033
(651) 483-1734
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30137
MN
Other
Enumeration date
08/24/2005
Last updated
02/16/2011
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