Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELISE CHRISTINE BRODIN LARSON, MD
ActiveDR. ELISE CHRISTINE BRODIN LARSON, MD is a Family Medicine healthcare provider located in FRIDLEY, Minnesota. NPI 1124087622 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FRIDLEY, MN
Registration Details
- NPI Number
- 1124087622
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2006 (20.353805637862 yrs)
- Last Updated
- Nov 8, 2024
- License
-
40650 (MN)
Practice Information
- Address
-
5130 MAIN ST NEFRIDLEY, MN, 554211528Browse MN providers · Browse ZIP 55421
- Phone
- 6122161471
- Fax
- 8339721587
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| STEVEN DUANE BENTZ | MD | 1184606774 |
| JOY KRISTINE ANDERSON | MD | 1952384059 |
| JAMES WILLIAM KEANE | MD | 1275516775 |
| KEVIN BRENT BAILEY | MD | 1043294440 |
| KARA ELIZABETH FAY PETTIGREW | MD | 1548244791 |
| CHIENYENWA N NWACHUKU-WINFUL | MBBS | 1952376675 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.