Individual
PETER LEAFBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-1210
(612) 873-6963
Mailing address
581 SUZANNE AVE, SHOREVIEW, MN 55126-2308
(651) 226-2179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11818
MN
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
12/30/2014
Last updated
10/16/2018
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