William Walter Larsen PH.D.

NPI 1083712301 - Psychologist - 103TC0700X

NPI Details
NPI 1083712301
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
525 ITASCA ST
GRAND RAPIDS MN, 55744-2965, US
Phone (218) 327-2295
Fax (218) 327-2295
Business Location
525 ITASCA ST
GRAND RAPIDS MN, 55744-2965, US
Phone (218) 327-2295
Fax (218) 327-2295
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP0562
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According to our database, Dr. William Walter Larsen PH.D. NPI is 1083712301, taxonomy code is 103TC0700X and license number is LP0562, license state is located at Minnesota. William Walter Larsen PH.D. physically located at 525 Itasca St, Grand Rapids MN, 55744-2965. NPI Number William Walter Larsen PH.D. has the Individual type.

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1083712301 NPI number is provided on an as is basis without warranty of any kind. 1083712301 is maintained by the National Plan & Provider Enumeration System. The contents of William Walter Larsen PH.D. are for informational purposes only.