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Dr. John W Larson, D.C.

Chiropractor, Nutrition in Woodbury, MN. Individual provider (NPI-1).

NPI number1285642975
StatusActive
Last updated in NPPESApr 13, 2017

Details

NPI
1285642975
Entity type
Individual (NPI-1)
Name
Dr. John W Larson
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2006
Last updated
Apr 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NN1001X Chiropractor, Nutrition3500MNYes

Practice location

1740 Weir Dr
Suite 24
Woodbury, MN 55125-2282

Phone 651-232-6830 · Fax 651-702-2636

Mailing address

18140 Ane Street Nw
Suite 303
Elk River, MN 55330

Phone 763-241-5436 · Fax 763-241-5466

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