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PAUL LARSON OB GYN CLINIC PA NPI 1770547317


NPI Information

NPI: 1770547317
Provider Name: PAUL LARSON OB GYN CLINIC PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
6525 FRANCE AVE S
STE 100
EDINA, MN
ZIP 55435
Phone: (952) 927-4021
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PAUL LARSON OB GYN CLINIC PA is an obstetrics gynecology in Edina, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PAUL LARSON OB GYN CLINIC PA NPI is 1770547317. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6525 FRANCE AVE S
STE 100
EDINA, MN
ZIP 55435-624
Phone: (952) 927-4021
Fax: (952) 285-6183

The provider's authorized official is Martin L. Immerman .
The authorized official title is President and has the following contact phone number (952) 927-4021.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 1/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VC0200XObstetrics & GynecologyCritical Care MedicineNo
2207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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