Individual
DR. LARRY WILLIAM KOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 FRANCE AVE S, SUITE 100, EDINA, MN 55435-5847
(952) 922-7000
(952) 920-3333
Mailing address
7700 FRANCE AVE S, SUITE 100, EDINA, MN 55435-5847
(952) 922-7000
(952) 920-3333
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
22030
MN
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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