Individual
BRENT DAVID LEININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 MAIN ST, WANAMINGO, MN 55983-3848
(507) 824-2336
Mailing address
PO BOX 214, WANAMINGO, MN 55983-0214
(507) 824-2336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4210-012
WI
111N00000X
Chiropractor
Primary
4846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428319800
—
MN
Enumeration date
05/15/2006
Last updated
06/03/2009
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