NPI 1427576677

Larry Krog

Practitioner Other Technician Fergus Falls, MN

Practice location

Address: 1806 E Fir Ave, Fergus Falls, MN 56537-3917
Phone: (701) 412-2973
Fax: (701) 237-4407
Mailing address: 891 Belsly Blvd, Moorhead, MN 56560-5055

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1427576677
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Sep 2017
Record last updated: 7 Sep 2017

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.