Individual
LEO FRANCIS P AVENIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21260 CHIPPENDALE AVE W, FARMINGTON, MN 55024-1427
(651) 463-7181
(651) 460-7184
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41799
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824223200
—
MN
Enumeration date
04/06/2006
Last updated
11/04/2020
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