Individual
LEON W WILLIAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0544626
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28198WI
BLUE CROSS
—
05
—
43345800
—
WI
01
—
965621007641
PREFERREDONE
—
Enumeration date
01/25/2006
Last updated
07/08/2007
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