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Individual

CHRISTOPHER LECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6500 EXCELSIOR BLVD, MINNEAPOLIS, MN 55426-4702
(952) 993-5000
Mailing address
9822 JUNIPER ST NW, COON RAPIDS, MN 55433-5439
(651) 808-4785

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
238722-6
MN

Other

Enumeration date
08/23/2019
Last updated
08/23/2019
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