DR. Brant Adam Larsen, BRANT LARSEN D.C.
NPI #1922213941 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1922213941
- Entity Type
- Individual
- Name
- DR. Brant Adam Larsen, BRANT LARSEN D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- BRANT LARSEN D.C.
- Enumeration Date
- May 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 25 LAKE ST N
- Address 2
- SUITE 217
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2535
- Phone
- (651) 982-1804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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