Individual
WALTER BERTRAM LEINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900
Mailing address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19200
MN
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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