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Individual

DAVID LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6000 W 41ST ST, SIOUX FALLS, SD 57106-3012
(605) 361-7208
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57118-6430
(605) 322-4900
(605) 322-4910

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1803
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5605482
SD
Enumeration date
06/28/2006
Last updated
09/22/2009
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