Jeannie Therese Larson, MD
NPI #1164406369 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1164406369
- Entity Type
- Individual
- Name
- Jeannie Therese Larson, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Credential
- MD
- Enumeration Date
- Dec 1, 2005
- Last Updated
- Aug 14, 2020
Practice Location
- Address
- 9555 UPLAND LANE N
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369
- Phone
- (952) 993-3260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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