Individual
DR. LARRY MATTHEW DEPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
107627
MN
208600000X
Surgery Physician
40058
IA
208600000X
Surgery Physician
71804
WI
Other
Enumeration date
07/03/2007
Last updated
03/01/2024
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