Individual
CLAIRE O'NEILL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13205 ISLE DR, BAXTER, MN 56425-8554
(218) 454-7600
(218) 454-7681
Mailing address
13205 ISLE DR, BAXTER, MN 56425-8554
(218) 454-7600
(218) 454-7681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12961
MN
Other
Enumeration date
03/04/2019
Last updated
10/28/2024
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