IndividualActive
Bert Larson, M.D.
NPI 1497867790 · Nuclear Imaging & Therapy Physician · Minneapolis, MN
Provider details
- NPI number
- 1497867790
- Entity type
- Individual
- Primary specialty
- Nuclear Imaging & Therapy PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 20807 (MN)
Mailing address
5137 Alameda St
Shoreview, MN 55126-1204
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.