Jill Suzanne Melicher Larson, MD

NPI #1285788950 in Bloomington, Minnesota

Provider Information

NPI Number: 1285788950
Entity Type: Individual
Name: Jill Suzanne Melicher Larson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
Credential: MD
Enumeration Date: Jan 22, 2007
Last Updated: Oct 17, 2017

Practice Location

Address: 9801 DUPONT AVE S
Address 2: 200
City: Bloomington
State: Minnesota
ZIP Code: 55431-3100
Phone: (952) 888-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery — Ophthalmic Plastic and Reconstructive Surgery	207WX0200X	Primary

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