Larry A Mathison, MD

NPI #1427057439 in Mound, Minnesota

Provider Information

NPI Number: 1427057439
Entity Type: Individual
Name: Larry A Mathison, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2200 COMMERCE BLVD
City: Mound
State: Minnesota
ZIP Code: 55364-1547
Phone: (952) 495-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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