Individual
GORDON D LEINGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 712-4500
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 712-4500
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
6895
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13166
BCBSND
ND
05
—
1454482
—
ND
01
—
930028709
RR MEDICARE
ND
Enumeration date
07/18/2006
Last updated
06/15/2023
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