Individual
EMILY GRACE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2946
(507) 293-1757
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
69821
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
69821
MN
208100000X
Physical Medicine & Rehabilitation Physician
R-11804
IA
Other
Enumeration date
05/18/2020
Last updated
06/20/2025
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