Individual
MR. JEFFREY ALLEN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED ORTHOTIST
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-2001
(612) 727-5952
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-2001
(612) 727-5952
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO 4379
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO 4379
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS
MN
Enumeration date
11/25/2008
Last updated
11/25/2008
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