Individual
DR. MARIE CHRISTINE LEISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
280 NORTH SMITH AVENUE, DOCTORS PROFESSIONAL BUILDING, ST. PAUL, MN 55102-2459
(651) 241-8295
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(651) 241-8295
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40993
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0511188
—
IA
05
—
071729100
—
MN
01
—
1017577
PREFERREDONE
—
01
—
122837
UCARE
—
01
—
23-00008
MEDICA - PRIMARY
—
01
—
2311446
MEDICA - CHOICE
—
05
—
32446800
—
WI
01
—
ARAZ
835296
—
01
—
BLUECROSS BLUESHIELD
BLUECROSS BLUE SHIELD
MN
01
—
HP28829
HEALTHPARTNERS
—
Enumeration date
07/10/2006
Last updated
03/11/2021
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