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Individual

DR. DAVID LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
PO BOX 81, CHASKA, MN 55318-0081
(888) 398-3327

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26586
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125512
UCARE
01
39-02224
MEDICA EMERG
01
62D32LA
BCBS
01
HP16597
HEALTH PARTNERS
Enumeration date
06/06/2006
Last updated
12/04/2007
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