Individual
CHRISTOPHER D LEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, CENTRACARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 252-3342
Mailing address
1200 6TH AVE N, CENTRACARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 252-3342
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
47527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
564115800
—
MN
Enumeration date
08/03/2005
Last updated
03/28/2023
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