| Keith Larson Neurology Pllc | |
|
1511 Northway Dr Suite 202 Saint Cloud MN 56303-1261 | |
| (320) 217-8880 | |
| (320) 253-1822 |
| Full Name | Keith Larson Neurology Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1511 Northway Dr, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Keith Darryl Larson (PRESIDENT) |
| Authorized Official Contact | 3202178880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Larson Neurology Pllc 1511 Northway Dr Suite 202 Saint Cloud MN 56303-1261 Ph: (320) 217-8880 | Keith Larson Neurology Pllc 1511 Northway Dr Suite 202 Saint Cloud MN 56303-1261 Ph: (320) 217-8880 |
| NPI Number | 1982937827 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982937827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 22693 (Minnesota) | Primary |
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Memory Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 W Saint Germain St, Saint Cloud, MN 56301 Phone: 320-257-1777 Fax: 320-257-1776 | |
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