Individual
BRENT JAMES LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6600 LYNDALE AVE S, RICHFIELD, MN 55423-3380
(612) 788-8778
Mailing address
6600 LYNDALE AVE S, RICHFIELD, MN 55423-3380
(718) 817-1234
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
997
MN
Other
Enumeration date
05/18/2015
Last updated
09/20/2018
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