Individual
CHRISTINE LEEANN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9801 DUPONT AVE S, BLOOMINGTON, MN 55431-3100
(952) 888-5800
Mailing address
9801 DUPONT AVE S, BLOOMINGTON, MN 55431-3100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
56362
MN
207W00000X
Ophthalmology Physician
56846-20
WI
Other
Enumeration date
06/25/2008
Last updated
06/18/2013
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