Melicher Larson, Jill Suzanne

Melicher Larson, Jill Suzanne is an individual health care provider with primary practice located at 9801 Dupont Ave S 200, Bloomington MN 55431-3100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Melicher Larson, Jill Suzanne can be contacted via phone (952) 888-5800.

Contact Information

Primary practice address
9801 Dupont Ave S 200 Bloomington MN 55431-3100
Phone: (952) 888-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 105147 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 53626 Minnesota

Profile Details

NPI number 1285788950
LBN Legal business name Melicher Larson, Jill Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 17th, 2017 - about 9 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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