Individual
ANNETTE CLARINE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
2891 UNIVERSITY AVENUE, GRAND FORKS, ND 58202-9038
(701) 777-4500
(701) 777-4835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0095
ND
Other
Enumeration date
09/27/2006
Last updated
08/31/2017
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