Larson, Jon D

Larson, Jon D is an individual health care provider with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Larson, Jon D can be contacted via phone (218) 846-2000.

Contact Information

Primary practice address
1245 Washington Ave Detroit Lakes MN 56501-3905
Phone: (218) 846-2000
Fax: (218) 846-2114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45023 Minnesota

Profile Details

NPI number 1508884172
LBN Legal business name Larson, Jon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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