Brant A. Larsen D.c., P.a.
NPI #1922279215 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1922279215
- Entity Type
- Organization
- Organization Name
- Brant A. Larsen D.c., P.a.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 14, 2008
- Last Updated
- Mar 14, 2008
Practice Location
- Address
- 25 LAKE ST N
- Address 2
- SUITE 217
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2535
- Phone
- (651) 982-1804
Authorized Official
- Name
- DR. BRANT A LARSEN, D.C.
- Title
- PRESIDENT
- Phone
- (651) 982-1804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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