IndividualActive
John Larsen, M.D.
NPI 1497863401 · Otology & Neurotology Physician · Waconia, MN
Provider details
- NPI number
- 1497863401
- Entity type
- Individual
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 20221 (MN)
Practice location
490 S Maple St
Suite 205
Waconia, MN 55387-1760
Phone: (952) 925-5626
Fax: (952) 442-2180
Mailing address
490 S Maple St
Waconia, MN 55387-1760
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2008-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.