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Keith D Larson, MD
Neurology with Special Qualifications in Child Neurology Physician in Saint Cloud, Minnesota
NPI 1639138431

Keith D Larson is a Neurology with Special Qualifications in Child Neurology Physician based in Saint Cloud, MN and is specialized in Neurology with Special Qualifications in Child Neurology. Keith D Larson practices in Saint Cloud, MN and has the professional credentials of MD. The NPI Number for Keith D Larson is 1639138431 and holds a License No. 22693 (Minnesota).

The current practice location address for Keith D Larson is 1511 Northway Dr, Saint Cloud, MN and can be reached out via phone at 320-217-8880 and via fax at 320-253-1822.

Location: 1511 Northway Dr, Saint Cloud, MN, 56303-1261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639138431
Provider Name
Keith D Larson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1511 Northway Dr, Saint Cloud, MN, 56303-1261
Phone Number
320-217-8880
Fax Number
320-253-1822
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
313593400 05 MN
institution
Provider Business Practice Location Address Details
Address
1511 Northway Dr
City
Saint Cloud
State
Minnesota
Zip
56303-1261
Phone Number
320-217-8880
Fax Number
320-253-1822
person
Provider Business Mailing Address Details
Address
1511 Northway Dr
City
Saint Cloud
State
Minnesota
Zip
56303-1261
Phone Number
320-217-8880
Fax Number
320-253-1822
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
22693 (Minnesota)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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