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Individual

SUZANNE LEROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5 W LAKE ST, MINNEAPOLIS, MN 55408-3117
(612) 545-9222
Mailing address
9350 COLLEGEVIEW RD APT 310, BLOOMINGTON, MN 55437-2173

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0929864
MN

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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