Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minnesota Otolaryngology, PA

Organization Otolaryngology Physician · NPI 1790821940

Minnesota Otolaryngology, PA is an Otolaryngology Physician in Excelsior, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

675 Water St
Excelsior, MN 55331-3063
Phone: (952) 925-5626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 0202219 (MN)

Record details

NPI number1790821940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Larsen — Ceo · (952) 925-5626
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address675 Water St, Excelsior, MN 55331-3063

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