Individual
ANNETTE MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1451 44TH AVE S STE E, GRAND FORKS, ND 58201-3434
(701) 787-5800
(701) 787-5802
Mailing address
1451 44TH AVE S STE E, GRAND FORKS, ND 58201-3434
(701) 787-5800
(701) 787-5802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12482
MN
363A00000X
Physician Assistant
Primary
PAC0723
ND
Other
Enumeration date
08/08/2017
Last updated
08/14/2020
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