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NPI Code Detail

MEDICARE: ANN LAROS MD

MEDICARE: ANN LAROS MD
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
1207VG0400XGynecology Physician60266MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
238512OTHERIAWELLMARK BCBS

General Provider Information

NPI Number : 1619964277
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN LAROS MD
Provider Business Mailing Address
First Line : 410 CHURCH ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0222
Country : US
Telephone Number : 612-625-8400
Fax Number : 612-625-1434
Provider Business Practice Location Address
First Line : 410 CHURCH ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0222
Country : US
Telephone Number : 612-625-8400
Fax Number : 612-625-1434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 03/17/2018

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Directions to “ ANN LAROS MD” Practice Location

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