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Individual

DR. LEO THEODORE FURCHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS420, MINNEAPOLIS, MN 55455-0341
(612) 626-0622
(612) 626-2696
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455-0341
(612) 626-0622
(612) 626-2696

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
23527
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051799
MT
05
0512624
IA
01
1009107
PREFERRED ONE
MN
01
101357
UCARE
MN
05
10387
ND
01
11-22568
MEDICA CHOICE
MN
01
11-74549
MEDICA PRIMARY
MN
05
31623700
WI
01
768120
ARAZ
MN
05
7777470
SD
01
9G687FR
BCBS
MN
01
HP22288
HEALTHPARTNERS
MN
Enumeration date
07/06/2006
Last updated
07/09/2007
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