Individual
JOSEPH JAMES LEVEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 109TH AVE NE, BLAINE, MN 55449-4670
(218) 310-9719
Mailing address
519 W 22ND ST, MINNEAPOLIS, MN 55405
(218) 310-9719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11959
MN
Other
Enumeration date
10/20/2015
Last updated
10/30/2017
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