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Individual

DR. KYLE PROVINE LEHENBAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 VETERANS DR, GENERAL INTERNAL MEDICINE (1110), MINNEAPOLIS, MN 55417-2309
(612) 467-2679
Mailing address
1 VETERANS DR, GENERAL INTERNAL MEDICINE (1110), MINNEAPOLIS, MN 55417-2309
(612) 467-2679

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47035
MN

Other

Enumeration date
04/22/2006
Last updated
05/06/2009
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