Individual
TODD G LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454-5000
(612) 625-1562
(612) 626-8311
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4786
(651) 254-9426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
9204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111791
MEDICA (MN)
—
01
—
0966523
MEDICAID (IOWA)
—
01
—
120314
UCARE (MN)
—
05
—
281724100
—
MN
01
—
73A65LE
BCBS (MN)
—
01
—
874112
AMERICA'S PPO (MN)
—
01
—
970005979
RR MEDICARE
—
01
—
HP41032
HEALTH PARTNERS (MN)
—
01
—
NA2951023880
PREFERRED ONE (MN)
—
Enumeration date
01/09/2006
Last updated
07/21/2022
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