Individual
ADAM LEIKENSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 E 19TH ST, THE DALLES, OR 97058-3389
(541) 506-6998
Mailing address
1800 E 19TH ST, THE DALLES, OR 97058-3389
(541) 506-6998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1376-TEP
WI
207R00000X
Internal Medicine Physician
50181-20
WI
207RH0003X
Hematology & Oncology Physician
Primary
MD154615
OR
Other
Enumeration date
05/03/2006
Last updated
06/14/2011
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