Individual
AMANDA ELIZABETH LEINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
(320) 864-7887
Mailing address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
(320) 864-7887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741127800
—
MN
Enumeration date
10/14/2005
Last updated
11/24/2020
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