Individual
DR. BERT WARNER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2014
Mailing address
5137 ALAMEDA ST, SHOREVIEW, MN 55126-1204
(651) 484-2208
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
20807
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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