Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNIE THERESE LARSON, MD
ActiveJEANNIE THERESE LARSON, MD is a Obesity Medicine healthcare provider located in MAPLE GROVE, Minnesota. NPI 1164406369 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1164406369
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2005 (20.726263207249 yrs)
- Last Updated
- Aug 14, 2020
- Licenses
-
33568 (MN)33568 (MN)
Practice Information
- Address
-
9555 UPLAND LANE NMAPLE GROVE, MN, 55369Browse MN providers · Browse ZIP 55369
- Phone
- 9529933260
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.