Individual
TOM D LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2250
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43983
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03N49LA
LARSON BCBS #
MN
01
—
1015556
LARSON PREFERRED ONE #
MN
01
—
16-04032
LARSON MEDICA #
MN
05
—
163020200
—
MN
05
—
18046
—
ND
01
—
HP25797
LARSON HEALTHPARTNERS #
MN
Enumeration date
06/29/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us