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Individual

LEAH SUZANNE WISNIEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 273-3000
Mailing address
2565 FRANKLIN AVE APT 307, SAINT PAUL, MN 55114-3000

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
13820
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5722
WI

Other

Enumeration date
08/02/2021
Last updated
05/02/2024
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