Individual provider · Type 1 NPI
Matthew J. Larson
Driver · Mankato, MN
NPI number
1417113648
Active
Practice location
2112 Hoffman Rd
Mankato, MN 56001-5829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Mankato
About NPI 1417113648
Matthew J. Larson's National Provider Identifier is 1417113648, issued on Aug 7, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Mankato, MN. The record was last updated on Aug 7, 2008.