Organization
BRANT A. LARSEN D.C., P.A.
Active
Other names
Health Dynamics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANT A LARSEN D.C. (PRESIDENT)
(651) 982-1804
Entity
Organization
Contact information
Practice address
25 LAKE ST N, SUITE 217, FOREST LAKE, MN 55025-2535
(651) 982-1804
Mailing address
25 LAKE ST N, SUITE 217, FOREST LAKE, MN 55025-2535
(651) 982-1804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4631
MN
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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