Individual
DR. ELISE CHRISTINE BRODIN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5130 MAIN ST NE, FRIDLEY, MN 55421-1528
(612) 216-1471
(833) 972-1587
Mailing address
323 WASHINGTON AVE N STE 200, MINNEAPOLIS, MN 55401-2206
(952) 698-9860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40650
MN
Other
Enumeration date
03/22/2006
Last updated
11/08/2024
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