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Individual

ANN LAROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 625-1434
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 625-1434

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
60266
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1099648
IA
01
38512
WELLMARK BCBS
IA
Enumeration date
09/29/2005
Last updated
03/17/2018
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