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Nathan Larson, MS,AT,ATC
Sports Medicine (Preventive Medicine) Physician in Hancock, Michigan
NPI 1366949455

Nathan Larson is a Sports Medicine (Preventive Medicine) Physician based in Houghton, MI and is specialized in Sports Medicine. Nathan Larson practices in Hancock, MI and has the professional credentials of MS,AT,ATC. The NPI Number for Nathan Larson is 1366949455 and holds a License No. 2601000209 (Michigan).

The current practice location address for Nathan Larson is 601 Quincy St., Hancock, MI and can be reached out via phone at 906-487-7532 and via fax at 906-487-7527.

Location: 601 Quincy St., Hancock, MI, 49931-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366949455
Provider Name
Nathan Larson
Credential
MS,AT,ATC
Provider Entity Type
Individual
Gender
Male
Address
601 Quincy St., Hancock, MI, 49931-1144
Phone Number
906-487-7532
Fax Number
906-487-7527
Provider Enumeration Date
04/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2601000209 01 MI STATE LICENSURE
institution
Provider Business Practice Location Address Details
Address
601 Quincy St.
City
Hancock
State
Michigan
Zip
49930-4993
Phone Number
906-487-7532
Fax Number
906-487-7527
person
Provider Business Mailing Address Details
Address
601 Quincy St.
City
Hancock
State
Michigan
Zip
49930-4993
Phone Number
906-487-7532
Fax Number
906-487-7527
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
2083S0010X
License No.
2601000209 (Michigan)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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