Larson, Mark Daniel

Larson, Mark Daniel is an individual health care provider with primary practice located at 9801 Dupont Ave S Ste 200 , Bloomington MN 55431-3200. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Larson, Mark Daniel can be contacted via phone (952) 888-5800.

Contact Information

Primary practice address
9801 Dupont Ave S Ste 200 Bloomington MN 55431-3200
Phone: (952) 888-5800
Fax: (952) 567-6156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 73841 Minnesota

Profile Details

NPI number 1831651868
LBN Legal business name Larson, Mark Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2019
Last updated Aug 2nd, 2023 - about 2 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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