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Individual

VIVIANE TCHONANG LEUCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
345 SMITH AVE N STE 504, SAINT PAUL, MN 55102-2346
(612) 220-6000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
61959
MN
208000000X
Pediatrics Physician
ML60470210
WA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
61959
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2014
Last updated
09/10/2020
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