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Contact Information

PETER LEAFBLAD, PA
715 S 8TH ST
MINNEAPOLIS, MN55404-1210
 Phone: 612-873-6963
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PETER LEAFBLAD · (Male)

NPI Number 1235527136
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/30/2014
Last updated 10/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11818
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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