Larry Nilsson PA-C
Physician Assistant in Edina, MN(View on Map)
Full Name
Larry Nilsson PA-C
NPI Number
1033197595
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/05/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
9754
Contact
Information
Purpose
Mailing
Location
Address
4200 DAHLBERG DR
4010 WEST 65TH STREET
City
Golden Valley
Edina
State
MN
MN
Postal Code
55422-4840
55435-4800
Country
US
US
Telephone Number
(952) 456-7000
(952) 944-2519
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/16/2015