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Contact Information

MATTHEW LARSON, MD
701 PARK AVE # P4
MINNEAPOLIS, MN55415-1623
 Phone: 612-873-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW LARSON · (Male)

NPI Number 1003008269
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2007
Last updated 11/23/2009 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 52480
Hospital affiliation(s)
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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