Jeannie Therese Larson in Minneapolis - Mohs-micrographic Surgery
Jeannie Therese Larson - NPI 1164406369
Jeannie Therese Larson is a Mohs-micrographic Surgery in Minneapolis, Minnesota. Jeannie Therese Larson practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Jeannie Therese Larson is 1164406369. The last update date is 2020-08-14.
Jeannie Therese Larson's current location address is 8170 33rd Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 9529933260. The mailing address for Jeannie Therese Larson is 8170 33rd Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannie Therese Larson |
|---|---|
| Address | 8170 33rd Ave S, Minneapolis, Minnesota |
| Phone Number | 9529933260 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164406369 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2020-08-14 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 9529933260 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 33568 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Post Comment/ Review Below
What is the unique identification code assigned to Jeannie Therese Larson by the Centers for Medicare & Medicaid Services?
The Jeannie Therese Larson has been issued the NPI (National Provider Identifier) 1164406369. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jeannie Therese Larson's facilities are geographically located?
The facilities of Jeannie Therese Larson are physically situated at the following location: 8170 33Rd Ave S, Minneapolis, MN, 554254516.
What is Jeannie Therese Larson's area of expertise and its corresponding taxonomy classification?
The Jeannie Therese Larson's field of specialization is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1164406369 to Jeannie Therese Larson?
The Centers for Medicare & Medicaid Services assigned the 1164406369 to Jeannie Therese Larson on 2005-12-01.
As of what date were the details related to Jeannie Therese Larson most recently updated or revised?
The information pertaining to Jeannie Therese Larson, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-14.
NPI Number: 1023011681
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