Individual
LESLIE B FORGOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Mailing address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
40393
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409300
—
WI
05
—
768317100
—
MN
Enumeration date
12/06/2005
Last updated
03/13/2013
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