Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY A MATHISON, MD
ActiveLARRY A MATHISON, MD is a Family Medicine healthcare provider located in MOUND, Minnesota. NPI 1427057439 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOUND, MN
Registration Details
- NPI Number
- 1427057439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2005 (21.07066945955 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19846 (MN)
Practice Information
- Address
-
2200 COMMERCE BLVDMOUND, MN, 553641547Browse MN providers · Browse ZIP 55364
- Phone
- 9524952000
- Fax
- 9524952060
- Primary Specialty
-
Family Medicine
207Q00000X
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.