JON D LARSON MD

SANFORD CLINIC NORTH

Dr JON D LARSON MD is a male medical professional, specializing in Family Medicine. He graduated in 1991 from University Of North Dakota School Of Medicine.

Contact

SANFORD CLINIC NORTH

1245 WASHINGTON AVE
DETROIT LAKES
MN
565013905

Tel: 2188462000

JON D LARSON MD Information

Npi 1508884172
Pac Id 1355323635
Professional Enrollment Id I20040601001446
Last Name LARSON
First Name JON
Middle Name D
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SANFORD CLINIC NORTH
Group Practice Pac Id 4284546151
Number Of Group Practice Members 417
Line 1 Street Address 1245 WASHINGTON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DETROIT LAKES
State MN
Zip Code 565013905
Phone Number 2188462000
Hospital Affiliation Ccn 1 241300
Hospital Affiliation Lbn 1 MAHNOMEN HEALTH CENTER
Hospital Affiliation Ccn 2 350011
Hospital Affiliation Lbn 2 SANFORD MEDICAL CENTER FARGO
Hospital Affiliation Ccn 3 240101
Hospital Affiliation Lbn 3 ESSENTIA HEALTH ST MARYS - DETROIT LAKES
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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