Individual
MR. LEON BORIS FRID
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3015 UTAH AVE S, SUITE 200, SAINT LOUIS PARK, MN 55426-3671
(952) 933-1121
(952) 945-9536
Mailing address
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4728
(952) 933-8900
(952) 945-9536
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
2008
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506527500
—
MN
Enumeration date
06/03/2006
Last updated
08/19/2019
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