Individual
LEON S MENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4502
Mailing address
PO BOX 1228, KASILOF, AK 99610
(907) 345-0004
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
6964
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575802
—
AK
01
—
1881629616
NPI
AK
05
—
OVN2759
—
VT
Enumeration date
07/11/2006
Last updated
03/16/2021
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