Kathleen M Larson M.D.

NPI 1073598975 - Family Medicine - 207Q00000X

NPI Details
NPI 1073598975
Gender Female
Enumeration Date 12/13/2005
Last Updated 10/05/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
15111 TWELVE OAKS CENTER DR
MINNETONKA MN, 55305-5201, US
Phone (952) 993-4550
Fax
Business Location
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK MN, 55426-1728, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 46239
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According to our database, Dr. Kathleen M Larson M.D. NPI is 1073598975, taxonomy code is 207Q00000X and license number is 46239, license state is located at Minnesota. Kathleen M Larson M.D. physically located at 15111 Twelve Oaks Center Dr, Minnetonka MN, 55305-5201. NPI Number Kathleen M Larson M.D. has the Individual type.

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1073598975 NPI number is provided on an as is basis without warranty of any kind. 1073598975 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen M Larson M.D. are for informational purposes only.