Organization
ERIC W. LARSON, M.D., PLLC
Active
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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