JEANNIE LARSON, MD

Dermatology - MOHS-Micrographic Surgery

Active Individual
NPI: 1164406369

Practice Address

9555 UPLAND LANE N
Maple Grove, MN 55369

Phone: (952) 993-3260

Specialties

Specialty Code Primary License
Dermatology 207N00000X No 33568 (MN)
Dermatology - MOHS-Micrographic Surgery 207ND0101X Yes 33568 (MN)

Frequently Asked Questions

NPI 1164406369 is the National Provider Identifier for JEANNIE LARSON, MD, a Dermatology - MOHS-Micrographic Surgery provider located in Maple Grove, MN. This NPI was enumerated on December 1, 2005.
JEANNIE LARSON, MD practices at 9555 UPLAND LANE N, Maple Grove, MN 55369.

Quick Facts

NPI
1164406369
Type
Individual
Enumerated
Dec 1, 2005
Last Updated
Aug 14, 2020

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