Individual
LEEANN MICHELLE DOCHNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 FAIRVIEW BLVD, RED WING, MN 55066-2848
(651) 267-5450
Mailing address
119 5TH AVE. NO, SOUTH ST PAUL, MN 55075
(651) 592-4802
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
666727
MN
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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