NPI 1003128059

Douglas Steven Larsen, PAC

Practitioner Physician Assistant Red Wing, MN

Practice location

Address: 701 Hewitt Blvd, Red Wing, MN 55066
Phone: (651) 267-5000
Mailing address: 701 Hewitt Blvd, Red Wing, MN 55066-2848

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 12317 (MN)

Other Physician Assistant providers in Minnesota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3095 (WI)

Registry record

NPI: 1003128059
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2010
Record last updated: 9 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.