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Individual

BRUCE NORMAN LEISTIKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G80992
CA
2083P0901X
Public Health & General Preventive Medicine Physician
G80992
CA
2083X0100X
Occupational Medicine Physician
Primary
G80992
CA

Other

Enumeration date
08/02/2006
Last updated
02/15/2013
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