Larry Nilsson, PA-C

NPI #1033197595 in Edina, Minnesota

Provider Information

NPI Number: 1033197595
Entity Type: Individual
Name: Larry Nilsson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 5, 2006
Last Updated: Jun 16, 2015

Practice Location

Address: 4010 WEST 65TH STREET
Address 2: TWIN CITIES ORTHOPEDICS
City: Edina
State: Minnesota
ZIP Code: 55435-4800
Phone: (952) 944-2519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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