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Individual

LEAH ANNE ZUPANCICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2545 CHICAGO AVE. S., SUITE 106, MINNEAPOLIS, MN 55404
(612) 813-8800
(612) 813-8825
Mailing address
2545 CHICAGO AVE. S., SUITE 106, MINNEAPOLIS, MN 55404
(612) 813-8800
(612) 813-8825

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10401
MN

Other

Enumeration date
05/15/2008
Last updated
10/29/2008
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