Leonard Read Sulik in Maple Grove - Child & Adolescent Psychiatry
Leonard Read Sulik - NPI 1083664130
Leonard Read Sulik is a Child & Adolescent Psychiatry in Maple Grove, Minnesota. Leonard Read Sulik practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Leonard Read Sulik is 1083664130. The last update date is 2021-05-14.
Leonard Read Sulik's current location address is 12915 63rd Ave N, Maple Grove, Minnesota. You can contact this provider via phone number 7633835800 and fax number 7635596450. The mailing address for Leonard Read Sulik is 12915 63rd Ave N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Read Sulik |
|---|---|
| Address | 12915 63rd Ave N, Maple Grove, Minnesota |
| Phone Number | 7633835800 |
| Fax Number | 7635596450 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083664130 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2021-05-14 |
Provider Mailing Address Detail
| Address | 12915 63rd Ave N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553696001 |
| Phone Number | 7633835800 |
| Fax Number | 7635596450 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 42089 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 640727700 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leonard Read Sulik?
The Leonard Read Sulik has been issued the NPI (National Provider Identifier) 1083664130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Leonard Read Sulik is physically located?
The Leonard Read Sulik is situated at the following address: 12915 63Rd Ave N, Maple Grove, MN 553696001.
What is the Leonard Read Sulik's specialty and taxonomy code?
The Leonard Read Sulik's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083664130 to Leonard Read Sulik?
The Leonard Read Sulik received its 1083664130 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the information pertaining to Leonard Read Sulik most recently updated or revised?
The details related to Leonard Read Sulik, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-14.
NPI Number: 1982607784
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