DR. Michael J Larson, MD

NPI #1518960087 in Rexburg, Idaho

Provider Information

NPI Number: 1518960087
Entity Type: Individual
Name: DR. Michael J Larson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: May 27, 2005
Last Updated: Dec 14, 2009

Practice Location

Address: 360 EAST MAIN
City: Rexburg
State: Idaho
ZIP Code: 83440
Phone: (208) 356-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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