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

Mr. Andrew Jon Larson, DO

Individual provider Dermatopathology (Pathology) Physician · NPI 1528296043

Mr. Andrew Jon Larson, DO is a Pathology in Plymouth, Minnesota. Qualified in 2004, 22 years ago. Practices with Dermatology Specialists, PA, an 18-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
22
Licensed in
IN
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9900 13th Ave N Ste 2A
Plymouth, MN 55441-5035
Phone: (763) 525-0363
Fax: (763) 525-0369
Show map & directions

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

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence 02003283A (IN)

Record details

NPI number1528296043
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2009
Last updated in NPPESOctober 17, 2014
Mailing address9900 13th Avenue North, Suite 2a, Plymouth, MN 55441-5035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Dermatology Specialists, Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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