Most Relevant Information
Provider Data
NPI Number: | 1003008269 |
Provider Name: | MATTHEW LARSON M.D. |
Entity Type: | Individual |
Taxonomy Code: | 207L00000X |
Specialty: | Anesthesiology |
License Number: | 52480 |
Most Important Dates
Enumeration Date: | 08/13/2007 |
Last Updated: | 11/23/2009 |
Provider Practice Location
701 PARK AVE # P4
MINNEAPOLIS
MN
554151623
Practice Location Phone/Fax
Phone: | 6128733000 |
Fax: |
Provider Mailing Location
701 PARK AVE # P4
MINNEAPOLIS
MN
554151623
Provider Mailing Phone/Fax
Phone: | 6128733000 |
Fax: |