Individual
RICHARD LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10190 BALTIMORE ST NE, BLAINE, MN 55449-5056
(763) 795-9363
(763) 795-9364
Mailing address
13011 KERRY ST NW, COON RAPIDS, MN 55448-1160
(763) 506-0436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34627
MN
Other
Enumeration date
06/16/2006
Last updated
11/19/2014
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