Individual
ROBERT A LARTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-7725
Mailing address
14189 ELDERBERRY CT, GLENCOE, MN 55336-8036
(320) 864-5755
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 078455 9
MN
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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