Larson, Elise Christine Brodin

Larson, Elise Christine Brodin is an individual health care provider with primary practice located at 5130 Main St Ne , Fridley MN 55421-1528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Larson, Elise Christine Brodin can be contacted via phone (612) 216-1471.

Contact Information

Primary practice address
5130 Main St Ne Fridley MN 55421-1528
Phone: (612) 216-1471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40650 Minnesota

Profile Details

NPI number 1124087622
LBN Legal business name Larson, Elise Christine Brodin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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