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Individual

ILO ELMAR LEPPIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5775 WAYZATA BLVD STE 200, MINNEAPOLIS, MN 55416-1227
(952) 525-4511
(952) 525-1560
Mailing address
5775 WAYZATA BLVD STE 200, MINNEAPOLIS, MN 55416-1227
(952) 525-4511
(952) 525-1560

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
16819-020
WI
2084N0400X
Neurology Physician
Primary
22617
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01014966
PREFERRED ONE
01
05-81577
MEDICA
05
10088
ND
05
167090500
MN
01
235558
AMERICA'S PPO
01
41-1677590
1ST CHOICE OF THE MIDWEST
01
71327LE
BLUE CROSS BLUE SHIELD
01
A006
TRIWEST
01
HP37157
HEALTHPARTNERS
Enumeration date
07/31/2006
Last updated
07/08/2007
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