Individual
LESLIE ANN RAU KIRSCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10984
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811277494
—
MN
01
—
H400405414
MEDICARE
MN
Enumeration date
08/26/2011
Last updated
01/22/2018
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