Individual
DR. DANIEL BRENT LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVENUE NORTH, CENTRACARE CLINIC RIVER CAMPUS, ST CLOUD, MN 56303-2735
(320) 252-3342
(320) 252-3501
Mailing address
1200 6TH AVENUE NORTH, CENTRACARE CLINIC RIVER CAMPUS, ST CLOUD, MN 56303-2735
(320) 252-3342
(320) 252-3501
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42685
MN
Other
Enumeration date
06/15/2006
Last updated
07/21/2022
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