Individual
ANNE-MARIE LEUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MAYO BUILDING MMC 250, MINNEAPOLIS, MN 55455-0341
(612) 625-4680
(612) 625-4410
Mailing address
420 DELAWARE ST SE, MAYO BUILDING MMC 250, MINNEAPOLIS, MN 55455-0341
(612) 625-4680
(612) 625-4410
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
54714
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54714
MINNESOTA MEDICAL LICENSE
MN
Enumeration date
09/09/2007
Last updated
11/11/2024
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