Individual
DR. MERRY ANN DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-8513
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23793
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237933
—
SC
01
—
CJ9471
RAILROAD MEDICARE
SC
Enumeration date
09/28/2006
Last updated
04/02/2024
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