Paul Larson Ob Gyn Clinic PA

NPI #1770547317 in Edina, Minnesota

Provider Information

NPI Number: 1770547317
Entity Type: Organization
Organization Name: Paul Larson Ob Gyn Clinic PA
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Apr 12, 2006
Last Updated: Jan 11, 2012

Practice Location

Address: 6525 FRANCE AVE S
Address 2: STE 100
City: Edina
State: Minnesota
ZIP Code: 55435-3624
Phone: (952) 927-4021

Authorized Official

Name: DR. MARTIN L. IMMERMAN, M.D.
Title: PRESIDENT
Phone: (952) 927-4021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Critical Care Medicine — Critical Care Medicine	207VC0200X
Obstetrics & Gynecology	207V00000X	Primary

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