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NPI Code Detail

MEDICARE: TERRY J LARIMER PA

MEDICARE: TERRY J LARIMER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant9394MN
2363A00000XPhysician Assistant9394MN

General Provider Information

NPI Number : 1508832577
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY J LARIMER PA
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-9000
Fax Number :
Provider Business Practice Location Address
First Line : 6350 W 143RD ST STE 102
Second Line :
City : SAVAGE
State : MN
Zip : 55378-2890
Country : US
Telephone Number : 952-428-1000
Fax Number : 952-428-0499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/07/2025

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Directions to “ TERRY J LARIMER PA” Practice Location

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