Individual
DR. ERNST OLOF LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Mailing address
176 FREEDOM ROAD, DRUMS, PA 18222
(570) 788-2359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7258
ND
207R00000X
Internal Medicine Physician
Primary
MD021204E
PA
208M00000X
Hospitalist Physician
7258
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04109770871
MEDICAL EDUCATION NUMBER
—
Enumeration date
05/16/2007
Last updated
11/01/2017
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