NPI 1285788950

Jill Suzanne Melicher Larson, MD

Practitioner Ophthalmic Plastic and Reconstructive Surgery Physician Bloomington, MN

Practice location

Address: 9801 Dupont Ave S 200, Bloomington, MN 55431-3100
Phone: (952) 888-5800
Mailing address: 9801 Dupont Ave S Suite 425, Bloomington, MN 55431-3100

Registered specialties (2)

Ophthalmic Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence 53626 (MN)

Other Ophthalmology providers in Minnesota →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 105147 (MN)

Registry record

NPI: 1285788950
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2007
Record last updated: 17 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.