Individual
THOMAS A LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6413 OAK STREET, NORTH BRANCH, MN 55056
(651) 674-8353
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26274
MN
Other
Enumeration date
10/03/2006
Last updated
04/11/2012
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