Individual
JOSH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
Mailing address
4217 24TH AVE S, MINNEAPOLIS, MN 55406-3027
(651) 642-1825
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
207
MN
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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