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

Dr. Elise Christine Brodin Larson, MD

Individual provider Family Medicine Physician · NPI 1124087622

Dr. Elise Christine Brodin Larson, MD is a Family Medicine Physician in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5130 Main St NE
Fridley, MN 55421-1528
Phone: (612) 216-1471
Fax: (833) 972-1587
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40650 (MN)

Record details

NPI number1124087622
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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