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Dr. Larry Matthew Deppe, M.D.

Surgery in Red Wing, MN. Individual provider (NPI-1).

NPI number1982802815
StatusActive
Last updated in NPPESMar 1, 2024

Details

NPI
1982802815
Entity type
Individual (NPI-1)
Name
Dr. Larry Matthew Deppe
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 3, 2007
Certification date
Mar 1, 2024
Last updated
Mar 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery107627MNYes
208600000X Surgery71804WI
208600000X Surgery40058IA

Other names

  • Matt Deppe (Professional Name)

Practice location

701 Hewitt Blvd
Red Wing, MN 55066-2848

Phone 651-267-5000

Mailing address

701 Hewitt Blvd
Red Wing, MN 55066-2848

Phone 651-267-5000

Other practice locations

200 1st St Sw
Rochester, MN 55905-2848

Phone 507-284-2511

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