Individual
JOHN BRENT LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5000
(605) 232-3332
(605) 232-0854
Mailing address
144 SUNCOAST DR, MCCOOK LAKE, SD 57049-4016
(605) 232-9051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R022281
SD
Other
Enumeration date
06/14/2006
Last updated
11/05/2007
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