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:
Health care specialties
Specialty | Code | License # | 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 8 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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