Organization
ERIC W. LARSON, M.D., PLLC
Active
Other names
Eric W. Larson, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEV KRIEG (OFFICE MANAGER)
(952) 920-6825
Entity
Organization
Contact information
Practice address
6525 DREW AVE S, EDINA, MN 55435-2103
(952) 920-6748
(952) 920-3863
Mailing address
6525 DREW AVE S, EDINA, MN 55435-2103
(952) 920-6748
(952) 920-3863
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131L0LA
BCBS MN
MN
01
—
172494
UCARE MN
MN
Enumeration date
04/03/2007
Last updated
08/22/2020
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