Individual
DR. STEPHEN A. LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC- WOMEN'S & CHILDRENS, ST CLOUD, MN 56303-5000
(320) 654-3630
Mailing address
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC- WOMEN'S & CHILDRENS, ST CLOUD, MN 56303-5000
(320) 654-3650
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
51744
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215590
—
IA
Enumeration date
06/27/2006
Last updated
02/01/2019
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