Individual
DR. BRIAN D. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST, MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 262-1166
Mailing address
800 E 28TH ST, MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34625
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239562200
—
MN
Enumeration date
03/24/2006
Last updated
11/10/2020
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