Individual
MATT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 GARFIELD ST N, CAMBRIDGE, MN 55008-1765
(763) 552-3103
(763) 552-3106
Mailing address
115 GARFIELD ST N, CAMBRIDGE, MN 55008-1765
(763) 552-3103
(763) 552-3106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118973
MN
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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