Mark C Leefeldt in St Louis Park - Physician Assistant
Mark C Leefeldt - NPI 1790764660
Mark C Leefeldt is a Physician Assistant in St Louis Park, Minnesota. Mark C Leefeldt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark C Leefeldt is 1790764660. The last update date is 2007-07-08.
Mark C Leefeldt's current location address is 6490 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529933230. The mailing address for Mark C Leefeldt is 6490 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark C Leefeldt |
|---|---|
| Address | 6490 Excelsior Blvd, St Louis Park, Minnesota |
| Phone Number | 9529933230 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | O.A. |
NPI Number Detail
| NPI Number | 1790764660 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6490 Excelsior Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554264705 |
| Phone Number | 9529933230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Mark C Leefeldt's 1790764660?
The Mark C Leefeldt's NPI (National Provider Identifier) Number is 1790764660. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark C Leefeldt is located?
The Mark C Leefeldt is situated at the following address: 6490 Excelsior Blvd, St Louis Park, MN, 554264705.
What is the Mark C Leefeldt's area of specialization and corresponding taxonomy classification?
The Mark C Leefeldt's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mark C Leefeldt receive the assignment of its 1790764660 from the Centers for Medicare & Medicaid Services?
The Mark C Leefeldt was issued its 1790764660 by the Centers for Medicare & Medicaid Services on 2006-01-10.
As of what date was the information pertaining to Mark C Leefeldt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark C Leefeldt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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