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Contact Information

LESLIE A NUSSBAUM, MD
3901 W 25TH ST
SAINT LOUIS PARK, MN55416-3803
 Phone: 612-374-0177
 Fax: 612-374-0893
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LESLIE A NUSSBAUM · (Female)

NPI # 1750358446
Status Active
Credentials MD
Entity Individual
Enumeration date 03/02/2006
Last updated 03/27/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 40344
  • MN Other 261S8SE BCBS MN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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