Timothy L Larson, PA-C

NPI #1982630828 in Marshall, Minnesota

Provider Information

NPI Number: 1982630828
Entity Type: Individual
Name: Timothy L Larson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 23, 2006
Last Updated: Oct 31, 2011

Practice Location

Address: 1401 NWAKAMA ST
City: Marshall
State: Minnesota
ZIP Code: 56258-5529
Phone: (507) 929-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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