Individual
CAMERON LEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-3311
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
58387
MN
390200000X
Student in an Organized Health Care Education/Training Program
RL12841
ND
Other
Enumeration date
07/01/2013
Last updated
10/26/2020
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