Individual
CHRISTIAN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 625-4440
(612) 626-3119
Mailing address
3601 PARK CENTER BLVD, APARTMENT 422, ST LOUIS PARK, MN 55416-2531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3445
MN
Other
Enumeration date
06/24/2015
Last updated
06/05/2017
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