Individual
DR. JEREMIAH EMIL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
207 KASAN AVE, VOLGA, SD 57071
(605) 627-9919
Mailing address
PO BOX 19, VOLGA, SD 57071-0019
(605) 627-9919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1144
SD
111N00000X
Chiropractor
1175
MT
Other
Enumeration date
08/30/2007
Last updated
05/27/2009
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