Individual
DR. DARIN TRACY LEETUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4040
(701) 746-7521
Mailing address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4040
(701) 746-7521
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
8133
ND
207X00000X
Orthopaedic Surgery Physician
MI43084882
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
NA
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829560001
MEDICARE DME
MI
01
—
0C16002
MEDICARE GROUP
MI
05
—
104727842
—
MI
01
—
DL084882
BLUECROSS STATE ID
MI
Enumeration date
05/16/2006
Last updated
12/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us