Individual
LEIGH KOIDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3625 W 65TH ST STE 100, EDINA, MN 55435-2147
(952) 345-7070
(952) 345-0472
Mailing address
3625 W 65TH ST STE 100, EDINA, MN 55435-2147
(952) 345-7070
(952) 345-0472
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56355
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2009
Last updated
03/17/2018
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