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Individual

DR. MARK LEENAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
6940 338TH LN NW, PRINCETON, MN 55371-5007
(763) 389-9417
Mailing address
6940 338TH LN NW, PRINCETON, MN 55371-5007
(763) 389-9417

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33571
MN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
33571
MN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
33571
MN

Other

Enumeration date
06/22/2008
Last updated
06/22/2008
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