Individual
DR. NANCY A LEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14001 RIDGEDALE DR STE 300, MINNETONKA, MN 55305-1783
(763) 316-4407
(952) 303-3579
Mailing address
14305 SOUTHCROSS DR W STE 110, BURNSVILLE, MN 55306-7011
(651) 340-1064
(651) 330-0429
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37892
MN
207N00000X
Dermatology Physician
4302
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43282300
—
MN
Enumeration date
12/29/2006
Last updated
07/23/2024
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