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Individual

DR. ANDREA ROSE LEINGANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
307 1ST ST NE, MANDAN, ND 58554-3310
(701) 663-0488
(701) 751-4129
Mailing address
307 1ST ST NE, MANDAN, ND 58554-3310
(701) 663-0488
(701) 751-4129

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
797
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14480
ND
01
30196
BCBS
Enumeration date
09/07/2006
Last updated
06/24/2014
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