DR. ELISE CHRISTINE BRODIN LARSON (MD) – Family Medicine Physician, NPI 1124087622
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ELISE CHRISTINE BRODIN LARSON (MD)
323 WASHINGTON AVE N STE 200
MINNEAPOLIS, MN 554012206
Phone: (952) 698-9860
Type: Mailing
5130, Main Street Northeast, Fridley, Anoka County, Minnesota, 55421, United States
FRIDLEY, MN 554211528
Phone: (612) 216-1471
Fax: (833) 972-1587
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55401)
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