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Organization

NEW LEAF CENTERS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL LANDWEHR (MANAGER)
(952) 801-0415
Entity
Organization

Contact information

Practice address
5000 W 36TH ST STE 205, ST LOUIS PARK, MN 55416-2760
(952) 807-0415
(952) 426-3032
Mailing address
5000 W 36TH ST STE 205, ST LOUIS PARK, MN 55416-2760
(952) 807-0415
(952) 426-3032

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1336125111
MN

Other

Enumeration date
01/02/2014
Last updated
01/02/2014
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