| Doctor Name: | DR. JAMES RICHARD LARSON |
| NPI Number: | 1013970144 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 21916 |
| Business Practice Address: | 8100 W 78th St Suite 225 Edina, MN - 554392516 |
| Business Phone Number: | 9529469777 |
| Business Fax Number: | 9529469888 |
| Mailing Address: | 2925 Chicago Ave, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554071321 |
| Phone Number: | 6122625000 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 21916 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |