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Individual

MITCHEL LEERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6936 PINE ARBOR DR S STE 100, COTTAGE GROVE, MN 55016-4661
(651) 326-5800
Mailing address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13346
MN
363A00000X
Physician Assistant
5420
WI

Other

Enumeration date
06/18/2017
Last updated
01/25/2024
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