LARSON DAVICK

STAPLES, MN
NPI1982074365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
-- LARSON DAVICK PA-C
49725 COUNTY 83
STAPLES, MN 56479-5280
Phone number: 218-894-1515
Mailing Address
-- LARSON DAVICK PA-C
49725 COUNTY 83
STAPLES, MN 56479-5280
Phone number: