# ORTHOPEDIC SURGICAL CONSULTANTS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295781920
- **Authorized official:** MRS. JENNIFER R. LARSON PA-C (OFFICE MANGER)
- **Authorized official phone:** (952) 403-3399

## Contact information

- **Practice address:** 1515 SAINT FRANCIS AVE, SUITE 150, SHAKOPEE, MN 55379-3387
- **Practice address phone:** (952) 403-3399
- **Practice address fax:** (952) 403-3390
- **Mailing address:** 1515 SAINT FRANCIS AVE, SUITE 150, SHAKOPEE, MN 55379-3387
- **Mailing address phone:** (952) 403-3399
- **Mailing address fax:** (952) 403-3390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 05/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 826312400 | — | MN |