Individual
BRENT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5037 KAGAN AVE NE, ALBERTVILLE, MN 55301-3521
(651) 324-4550
Mailing address
5037 KAGAN AVE NE, ALBERTVILLE, MN 55301-3521
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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