Larson, Robert M

Larson, Robert M is an individual health care provider with primary practice located at 1230 E Main St , Mankato MN 56002-8674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Larson, Robert M can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21174 Minnesota

Profile Details

NPI number 1730167768
LBN Legal business name Larson, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 10th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730167768 NPPES
Wisconsin MEDICAID 32427900
Wisconsin Other 1201389
Wisconsin MEDICAID 1507723
Wisconsin Other 41084933956001C018
Wisconsin Other 46D53LA
Wisconsin MEDICAID 789282900
Wisconsin Other HP10853
Wisconsin Other NA2951027857
Wisconsin Other 770978
Wisconsin Other 109799
Wisconsin Other 370019734

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