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Individual
DR. MARC LEUENBERGER
Active
Individual
DR. MARC LEUENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.C.S.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000729CT
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000729CT
STATE LICENSE
CT
01
—
050000729CT01
ANTHEM
CT
01
—
4296283
AETNA
CT
01
—
754337
CONNECTICARE
CT
01
—
8949579
CIGNA
CT
01
—
OR3039
LANDMARK
CT
Enumeration date
12/27/2006
Last updated
07/08/2007
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