IndividualActive
Jill Melicher Larson, MD
NPI 1285788950 · Ophthalmic Plastic and Reconstructive Surgery Physician · Bloomington, MN
Provider details
- NPI number
- 1285788950
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 105147 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9801 Dupont Ave S
200
Bloomington, MN 55431-3100
Phone: (952) 888-5800
Approximate (ZIP-level) locationGet directions
Mailing address
9801 Dupont Ave S
Bloomington, MN 55431-3100
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2017-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.