Minnesota Otolaryngology, P.a.

NPI #1790821940 in Excelsior, Minnesota

Provider Information

NPI Number: 1790821940
Entity Type: Organization
Organization Name: Minnesota Otolaryngology, P.a.
Primary Specialty: Otolaryngology
Enumeration Date: Jan 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 675 WATER ST
City: Excelsior
State: Minnesota
ZIP Code: 55331-3063
Phone: (952) 925-5626

Authorized Official

Name: JOHN LARSEN, M.D.
Title: CEO
Phone: (952) 925-5626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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