Individual provider · Type 1 NPI
Jill Suzanne Melicher Larson, MD
Ophthalmic Plastic and Reconstructive Surgery Physician · Bloomington, MN
Practice location
9801 Dupont Ave S, 200
Bloomington, MN 55431-3100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 105147 (MN) |
| Ophthalmic Plastic and Reconstructive Surgery Physician Primary | 207WX0200X | 53626 (MN) |
Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting struc…
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About NPI 1285788950
Jill Suzanne Melicher Larson, MD's National Provider Identifier is 1285788950, issued on Jan 22, 2007. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in Bloomington, MN. The record was last updated on Oct 17, 2017.