Individual
DR. NICHOLAS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2901 CORPORATE PL, CHANHASSEN, MN 55317-4560
(952) 380-4359
Mailing address
7515 16TH AVE S, RICHFIELD, MN 55423-4620
(515) 320-4508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6235
MN
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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