Larson Davick, PA-C

NPI #1982074365 in Staples, Minnesota

Provider Information

NPI Number: 1982074365
Entity Type: Individual
Name: Larson Davick, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 29, 2015
Last Updated: Sep 29, 2015

Practice Location

Address: 49725 COUNTY 83
City: Staples
State: Minnesota
ZIP Code: 56479-5280
Phone: (218) 894-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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