Individual
DR. JUSTIN RYAN LEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9055 SPRINGBROOK DR NW, ALLINA MEDICAL CLINIC - COON RAPIDS, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51172
MN
Other
Enumeration date
08/08/2007
Last updated
12/30/2022
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