Individual
JEREMY LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 E NICOLLET BLVD, BURNSVILLE, MN 55337-4522
(952) 460-4000
Mailing address
6670 131ST ST W, APPLE VALLEY, MN 55124-4104
(952) 693-6285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9266
MN
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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